O03.87

O03.87: Sepsis following complete or unspecified spontaneous abortion

Billable / specific codeICD-10-CM

O03.87 is a billable, specific ICD-10-CM code for sepsis following complete or unspecified spontaneous abortion. It is valid for submission on a claim.

Check O03.87 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.

septic or septicopyemic embolism following complete or unspecified spontaneous abortion (O03.7)

Use additional code

Add a secondary code to capture the detail described below.

code to identify infectious agent (B95-B97)
code to identify severe sepsis, if applicable (R65.2-)

Other codes that can never be billed with O03.87

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

O03.5Genital tract and pelvic infection following complete or unspecified spontaneous abortion
O03.81Shock 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›sepsis

Code history

Unchanged in every release from FY2024 to FY2027.