O03.5

O03.5: Genital tract and pelvic infection following complete or unspecified spontaneous abortion

Billable / specific codeICD-10-CM

O03.5 is a billable, specific ICD-10-CM code for genital tract and pelvic infection following complete or unspecified spontaneous abortion. It is valid for submission on a claim.

Check O03.5 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.

sepsis following complete or unspecified spontaneous abortion (O03.87)
urinary tract infection following complete or unspecified spontaneous abortion (O03.88)

Inclusion terms

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

Endometritis following complete or unspecified spontaneous abortion
Oophoritis following complete or unspecified spontaneous abortion
Parametritis following complete or unspecified spontaneous abortion
Pelvic peritonitis following complete or unspecified spontaneous abortion
Salpingitis following complete or unspecified spontaneous abortion
Salpingo-oophoritis following complete or unspecified spontaneous abortion

Risk adjustment

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

Alphabetic index entries that lead here

Abortion›complicated›endometritis
Abortion›complicated›genital tract and pelvic infection
Abortion›complicated›oophoritis
Abortion›complicated›parametritis
Abortion›complicated›pelvic peritonitis
Abortion›complicated›salpingitis or salpingo-oophoritis
Abortion›complicated›infection›genital tract or pelvic

Code history

Unchanged in every release from FY2024 to FY2027.