Z36.0

Encounter for antenatal screening for chromosomal anomalies

Billable / specificPOA exempt

Z36.0 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Applicable to

  • Encounter for antenatal screening for Down syndrome
  • Encounter for antenatal screening for fetal aneuploidy
  • Encounter for antenatal screening for Patau syndrome
  • Encounter for antenatal screening for Trisomy 13
  • Encounter for antenatal screening for Trisomy 21

Includes (from Z36)

  • Encounter for placental sample (taken vaginally)
  • Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.
  • Note: Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
  • Note: (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
  • Note: (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.

Excludes1

Not coded here — never report together with this code.

  • diagnostic examination- code to sign or symptom (from Z36)
  • encounter for suspected maternal and fetal conditions ruled out (Z03.7-) (from Z36)
  • suspected fetal condition affecting management of pregnancy - code to condition in Chapter 15 (from Z36)

Excludes2

Not included here — may be reported together when both conditions exist.

  • abnormal findings on antenatal screening of mother (O28.-) (from Z36)
  • genetic counseling and testing (Z31.43-, Z31.5) (from Z36)
  • routine prenatal care (Z34) (from Z36)

Also known as

  • Encounter for antenatal screening for Down syndrome
  • Encounter for antenatal screening for fetal aneuploidy
  • Encounter for antenatal screening for Patau syndrome
  • Encounter for antenatal screening for Trisomy 13
  • Encounter for antenatal screening for Trisomy 21
  • Encounter, antenatal screening, chromosomal anomalies
  • Encounter, antenatal screening, Down syndrome
  • Encounter, antenatal screening, fetal aneuploidy
  • Encounter, antenatal screening, Patau syndrome
  • Encounter, antenatal screening, Trisomy 13
  • Encounter, antenatal screening, Trisomy 21

Parent code

  • Z36Encounter for antenatal screening of motherHeader

Related codes

  • Z36.1Encounter for antenatal screening for raised alphafetoprotein levelBillable
  • Z36.2Encounter for other antenatal screening follow-upBillable
  • Z36.3Encounter for antenatal screening for malformationsBillable
  • Z36.4Encounter for antenatal screening for fetal growth retardationBillable
  • Z36.5Encounter for antenatal screening for isoimmunizationBillable
  • Z36.8Encounter for other antenatal screeningHeader
  • Z36.9Encounter for antenatal screening, unspecifiedBillable

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