Z36

Encounter for antenatal screening of mother

FY2027Chapter 21: Factors influencing health status and contact with health services/Z30–Z39 Persons encountering health services in circumstances related to reproduction

Non-billable headerNot valid on its own. Use one of the more specific codes under it.

Z36 is a non-billable ICD-10-CM code category for encounter for antenatal screening of mother. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are Z36.0 Encounter for antenatal screening for chromosomal anomalies, Z36.1 Encounter for antenatal screening for raised alphafetoprotein level, Z36.2 Encounter for other antenatal screening follow-up, Z36.3 Encounter for antenatal screening for malformations and 4 more. Its coding notes include 3 Excludes1 entries and 3 Excludes2 entries.

Excludes1

Not coded here. The listed conditions generally should not be reported together.

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

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

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

Includes

Further defines or gives examples of the content of the category.

This code
  • 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.

Notes

Also from chapter/block level (3 notes)
Inherited from Chapter 21 Factors influencing health status and contact with health services
  • 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:
    • (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.
    • (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.

More specific codes under Z36 8