O04.7

O04.7: Embolism following (induced) termination of pregnancy

Billable / specific codeICD-10-CM

O04.7 is a billable, specific ICD-10-CM code for embolism following (induced) termination of pregnancy. It is valid for submission on a claim.

Check O04.7 with the rest of the claim: free scrubber

Inclusion terms

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

Air embolism following (induced) termination of pregnancy
Amniotic fluid embolism following (induced) termination of pregnancy
Blood-clot embolism following (induced) termination of pregnancy
Embolism NOS following (induced) termination of pregnancy
Fat embolism following (induced) termination of pregnancy
Pulmonary embolism following (induced) termination of pregnancy
Pyemic embolism following (induced) termination of pregnancy
Septic or septicopyemic embolism following (induced) termination of pregnancy
Soap embolism following (induced) termination of pregnancy

Excludes2 inherited from the categories above O04.7

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.-)

Other codes that can never be billed with O04.7

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

O04.87Sepsis following (induced) termination of pregnancy
O88Obstetric embolism

Risk adjustment

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

Medicare coverage

O04.7 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A57189Billing and Coding: Serum Magnesium
A57326Billing and Coding: Electrocardiograms

Alphabetic index entries that lead here

Abortion›induced›complicated by›embolism(air) (amniotic fluid) (blood clot) (fat) (pulmonary) (septic) (soap)
Abortion›induced›complicated by›venous complication NEC›embolism(air) (amniotic fluid) (blood clot) (fat) (pulmonary) (septic) (soap)

Code history

Unchanged in every release from FY2024 to FY2027.