O04.7 — Embolism following (induced) termination of pregnancy
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.
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
Other codes that can never be billed with O04.7
These codes carry an Excludes1 note pointing at O04.7. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O04.7 alone.
Risk adjustment
O04.7 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.
Medicare coverage
O04.7 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57189Billing and Coding: Serum Magnesium
- A57326Billing and Coding: Electrocardiograms
How O04.7 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to O04.7.
- 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)
Related codes at this level
Codes that share O04. If O04.7 is not quite right, the correct code is usually one of these.
Questions about O04.7
- Is O04.7 a billable ICD-10-CM code?
- Yes. O04.7 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does O04.7 sit in the tabular list?
- Pregnancy, childbirth and the puerperium (O00-O9A), in the block Pregnancy with abortive outcome (O00-O08).