ICD-10 Z36.9
Billable / SpecificEncounter for antenatal screening, unspecified
About ICD-10-CM Z36.9
ICD-10-CM code Z36.9 represents Encounter for antenatal screening, unspecified. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z36). The 2026 edition of ICD-10-CM Z36.9 became effective on October 1, 2025.
Medicare LCD Coverage for Z36.9
Local Coverage Determinations (LCDs) from CMS MACs that list Z36.9 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 Z36.9.
3 Aetna
2 Cigna
CPT Codes Commonly Billed with Z36.9
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
Codes Adjacent To Z36.9
Other codes in section Z30-Z39 (Persons encountering health services in circumstances related to reproduction).
ICD-10 Z36.9, Billing FAQ
Is ICD-10 code Z36.9 billable? +
Yes, Z36.9 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What CPT codes are commonly billed with Z36.9? +
Procedures frequently paired with Z36.9 include: 76801, 76805.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 2, 2026.
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