O03

O03: Spontaneous abortion

Non-billable headerICD-10-CM

O03 is a non-billable header ICD-10-CM code for spontaneous abortion. It cannot be billed on its own: choose one of the more specific child codes below.

Includes

Conditions this code covers.

miscarriage

Notes

Additional guidance from the ICD-10-CM tabular list.

Incomplete abortion includes retained products of conception following spontaneous abortion

Other codes that can never be billed with O03

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

O03.0Genital tract and pelvic infection following incomplete spontaneous abortion
O03.31Shock following incomplete spontaneous abortion
O03.37Sepsis following incomplete spontaneous abortion
O03.5Genital tract and pelvic infection following complete or unspecified spontaneous abortion
O03.81Shock following complete or unspecified spontaneous abortion
O03.87Sepsis following complete or unspecified spontaneous abortion
O07Failed attempted termination of pregnancy
O08.1Delayed or excessive hemorrhage following ectopic and molar pregnancy

Risk adjustment

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

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead O03

10 child codes. Green means billable.