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
These codes carry an Excludes1 note pointing at O04. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O04 alone.
Risk adjustment
O04 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 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
Questions about O04
- Is O04 a billable ICD-10-CM code?
- No. O04 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does O04 sit in the tabular list?
- Pregnancy, childbirth and the puerperium (O00-O9A), in the block Pregnancy with abortive outcome (O00-O08).