O35.C: Mat care other fetal abnlt and damage, fetal pulm anomal
Maternal care for other (suspected) fetal abnormality and damage, fetal pulmonary anomalies
Quick Clinical & Billing Summary
What is ICD-10-CM code O35.C? O35.C represents Mat care other fetal abnlt and damage, fetal pulm anomal. Under official CDC guidelines, this code is non-billable and requires additional specificity.
Code Hierarchy & Classification
Clinical Guidance & Documentation Standards
Associated Procedures & Medicare RVU Reimbursement
Open RVU Calculator →Typical outpatient and office evaluation procedures frequently billed alongside diagnosis O35.C:
| CPT/HCPCS | Description | Work RVU | Non-Facility Fee | Facility Fee |
|---|---|---|---|---|
| 99213 | Office/outpatient visit, established patient, 20-29 minutes (Low MDM) | 1.30 | $91.69 | $66.79 |
| 99214 | Office/outpatient visit, established patient, 30-39 minutes (Moderate MDM) | 1.92 | $133.61 | $100.21 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection (subcutaneous/intramuscular) | 0.17 | $18.34 | $12.44 |
CPT Modifier & Billing Rules
Append when a significant, separately identifiable evaluation and management service is provided on the same calendar day as a minor surgical procedure or injection.
Identifies procedures or services not normally reported together but distinct under the clinical circumstances. Use CMS X-modifiers (XE, XS, XP, XU) where required by Medicare.
Frequently Asked Questions about O35.C
Is O35.C a billable ICD-10 code?
No, O35.C is a non-billable category code that requires additional digits to specify clinical details.
What is the ICD-10 code for Mat care other fetal abnlt and damage, fetal pulm anomal?
The primary ICD-10-CM code for Mat care other fetal abnlt and damage, fetal pulm anomal is O35.C.
What is the effective date of the current O35.C code?
The code is active for fiscal year FY2027, effective starting 2026-10-01.
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