O04.85 — Other venous complications following (induced) termination of pregnancy
O04.85 is a billable, specific ICD-10-CM code for other venous complications following (induced) termination of pregnancy. It is valid for submission on a claim.
Other codes that can never be billed with O04.85
These codes carry an Excludes1 note pointing at O04.85. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O04.85 alone.
- O22Venous complications and hemorrhoids in pregnancy
Risk adjustment
O04.85 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
O04.85 is named in 1 Medicare coverage policy — 1 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
How O04.85 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 O04.85.
- Abortion›induced›complicated by›venous complication NEC
Related codes at this level
Codes that share O04.8. If O04.85 is not quite right, the correct code is usually one of these.
- O04.80(Induced) termination of pregnancy with unspecified complications
- O04.81Shock following (induced) termination of pregnancy
- O04.82Renal failure following (induced) termination of pregnancy
- O04.83Metabolic disorder following (induced) termination of pregnancy
- O04.84Damage to pelvic organs following (induced) termination of pregnancy
- O04.86Cardiac arrest following (induced) termination of pregnancy
- O04.87Sepsis following (induced) termination of pregnancy
- O04.88Urinary tract infection following (induced) termination of pregnancy
- O04.89(Induced) termination of pregnancy with other complications
Questions about O04.85
- Is O04.85 a billable ICD-10-CM code?
- Yes. O04.85 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does O04.85 sit in the tabular list?
- Pregnancy, childbirth and the puerperium (O00-O9A), in the block Pregnancy with abortive outcome (O00-O08).