O02.1

O02.1: Missed abortion

Billable / specific codeICD-10-CM

O02.1 is a billable, specific ICD-10-CM code for missed abortion. It is valid for submission on a claim.

Check O02.1 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

failed induced abortion (O07.-)
fetal death (intrauterine) (late) (O36.4)
missed abortion with blighted ovum (O02.0)
missed abortion with hydatidiform mole (O01.-)
missed abortion with nonhydatidiform (O02.0)
missed abortion with other abnormal products of conception (O02.8-)
missed delivery (O36.4)
stillbirth (P95)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Early fetal death, before completion of 20 weeks of gestation, with retention of dead fetus

Excludes1 inherited from the categories above O02.1

A category’s note binds every code beneath it.

Written on O02: Other abnormal products of conception

papyraceous fetus (O31.0-)

Other codes that can never be billed with O02.1

Their own Excludes1 notes name this code, so the conflict is not listed above.

O36.4Maternal care for intrauterine death
O36.4XX0Maternal care for intrauterine death, not applicable or unspecified
O36.4XX1Maternal care for intrauterine death, fetus 1
O36.4XX2Maternal care for intrauterine death, fetus 2
O36.4XX3Maternal care for intrauterine death, fetus 3
O36.4XX4Maternal care for intrauterine death, fetus 4
O36.4XX5Maternal care for intrauterine death, fetus 5
O36.4XX9Maternal care for intrauterine death, other fetus

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

O02.1 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A57189Billing and Coding: Serum Magnesium

Alphabetic index entries that lead here

Abortion›missed
Missed›abortion
Dead›fetus, retained›early pregnancy
Retention›products of conception›early pregnancy(dead fetus)
Delivery›complicated›by›intrauterine fetal death, early
Pregnancy›complicated by›death of fetus›early pregnancy
Pregnancy›complicated by›intrauterine fetal death›early pregnancy
Pregnancy›complicated by›missed›abortion
Retention›dead›fetus›early fetal death
Retention›fetus›dead›early
Delivery›complicated›by›fetal›death, early
Pregnancy›complicated by›fetal›death›early pregnancy

Code history

Unchanged in every release from FY2024 to FY2027.