ICD-10 Z36.85
Billable / SpecificEncounter for antenatal screening for Streptococcus B
About ICD-10-CM Z36.85
ICD-10-CM code Z36.85 represents Encounter for antenatal screening for Streptococcus B. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z36). The 2026 edition of ICD-10-CM Z36.85 became effective on October 1, 2025.
Medicare LCD Coverage for Z36.85
Local Coverage Determinations (LCDs) from CMS MACs that list Z36.85 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Z36.85.
1 Cigna
CPT Codes Commonly Billed with Z36.85
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To Z36.85
Other codes in section Z30-Z39 (Persons encountering health services in circumstances related to reproduction).
ICD-10 Z36.85, Billing FAQ
Is ICD-10 code Z36.85 billable? +
Yes, Z36.85 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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