ICD-10-CM diagnosis code
O35.04X9 Maternal care for (suspected) central nervous system malformation or damage in fetus, encephalocele, other fetus
- Billable
- Yes, a complete code (FY2026)
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Other codes in O35
231 complete codes in this category.
- O35.04X0Maternal care for (suspected) central nervous system malformation or damage in fetus, encephalocele, not applicable or unspecified
- O35.04X1Maternal care for (suspected) central nervous system malformation or damage in fetus, encephalocele, fetus 1
- O35.04X2Maternal care for (suspected) central nervous system malformation or damage in fetus, encephalocele, fetus 2
- O35.04X3Maternal care for (suspected) central nervous system malformation or damage in fetus, encephalocele, fetus 3
- O35.04X4Maternal care for (suspected) central nervous system malformation or damage in fetus, encephalocele, fetus 4
- O35.04X5Maternal care for (suspected) central nervous system malformation or damage in fetus, encephalocele, fetus 5
- O35.04X9Maternal care for (suspected) central nervous system malformation or damage in fetus, encephalocele, other fetus
- O35.05X0Maternal care for (suspected) central nervous system malformation or damage in fetus, holoprosencephaly, not applicable or unspecified
- O35.05X1Maternal care for (suspected) central nervous system malformation or damage in fetus, holoprosencephaly, fetus 1
- O35.05X2Maternal care for (suspected) central nervous system malformation or damage in fetus, holoprosencephaly, fetus 2
- O35.05X3Maternal care for (suspected) central nervous system malformation or damage in fetus, holoprosencephaly, fetus 3
- O35.05X4Maternal care for (suspected) central nervous system malformation or damage in fetus, holoprosencephaly, fetus 4
Documentation tips
- Make sure the note supports every element of the title, “Maternal care for (suspected) central nervous system malformation or damage in fetus, encephalocele, other fetus”: each detail in it should be traceable to the history, examination or assessment.
- Code to the highest specificity the documentation supports. If a detail is missing from the note, add it to the note rather than choosing a less specific code by default.
- Check the Tabular List and official guidelines for instructional notes (“code first”, “use additional code”, Excludes1/Excludes2) that apply to O35.
The international WHO ICD-10 also has O35, with its inclusion and exclusion notes; titles and detail can differ from ICD-10-CM.
ICD-10-CM is developed by the National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, and is based on the WHO ICD-10. Codes and titles are reproduced unchanged from the FY2026 code list (effective 1 October 2025). Their use here does not imply endorsement by CDC, HHS or the U.S. Government. Changes effective on or after 1 October 2026 may not be reflected yet; check the current release at cdc.gov or cms.gov before submitting claims.
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