O04.5

O04.5: Genital tract and pelvic infection following (induced) termination of pregnancy

Billable / specific codeICD-10-CM

O04.5 is a billable, specific ICD-10-CM code for genital tract and pelvic infection following (induced) termination of pregnancy. It is valid for submission on a claim.

Check O04.5 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 (induced) termination of pregnancy (O04.87)
urinary tract infection following (induced) termination of pregnancy (O04.88)

Inclusion terms

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

Endometritis following (induced) termination of pregnancy
Oophoritis following (induced) termination of pregnancy
Parametritis following (induced) termination of pregnancy
Pelvic peritonitis following (induced) termination of pregnancy
Salpingitis following (induced) termination of pregnancy
Salpingo-oophoritis following (induced) termination of pregnancy

Excludes2 inherited from the categories above O04.5

Not part of this code, but both may be coded when both are present.

Written on O04: Complications following (induced) termination of pregnancy

encounter for elective termination of pregnancy (Z33.2)
failed attempted termination of pregnancy (O07.-)

Risk adjustment

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

Alphabetic index entries that lead here

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

Code history

Unchanged in every release from FY2024 to FY2027.