Is O03.8 a billable ICD-10-CM code?

No. O03.8 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does O03.8 sit in the tabular list?

Pregnancy, childbirth and the puerperium (O00-O9A), in the block Pregnancy with abortive outcome (O00-O08).

O03.8

O03.8 — Other and unspecified complications following complete or unspecified spontaneous abortion

Non-billable headerICD-10-CM

O03.8 is a non-billable header ICD-10-CM code for other and unspecified complications following complete or unspecified spontaneous abortion. It cannot be billed on its own: choose one of the more specific child codes below.

Other codes that can never be billed with O03.8

These codes carry an Excludes1 note pointing at O03.8. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O03.8 alone.

O03.5Genital tract and pelvic infection following complete or unspecified spontaneous abortion
O03.81Shock following complete or unspecified spontaneous abortion
O22Venous complications and hemorrhoids in pregnancy

Risk adjustment

O03.8 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead O03.8

10 child codes. Green means billable.

Related codes at this level

Codes that share O03. If O03.8 is not quite right, the correct code is usually one of these.

Questions about O03.8

Is O03.8 a billable ICD-10-CM code?: No. O03.8 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does O03.8 sit in the tabular list?: Pregnancy, childbirth and the puerperium (O00-O9A), in the block Pregnancy with abortive outcome (O00-O08).