O04
O04: Complications following (induced) termination of pregnancy
Non-billable headerICD-10-CM
O04 is a non-billable header ICD-10-CM code for complications following (induced) termination of pregnancy. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Includes
Conditions this code covers.
- complications following (induced) termination of pregnancy
Other codes that can never be billed with O04
Their own Excludes1 notes name this code, so the conflict is not listed above.
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 O04
4 child codes. Green means billable.
- O04.5Genital tract and pelvic infection following (induced) termination of pregnancy
- O04.6Delayed or excessive hemorrhage following (induced) termination of pregnancy
- O04.7Embolism following (induced) termination of pregnancy
- O04.8(Induced) termination of pregnancy with other and unspecified complications