Is O07.3 a billable ICD-10-CM code?

No. O07.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does O07.3 sit in the tabular list?

Pregnancy, childbirth and the puerperium (O00-O9A), in the block Pregnancy with abortive outcome (O00-O08).

What cannot be coded together with O07.3?

O07.3 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above O07.3 (O07) and apply to it just the same.

O07.3

O07.3 — Failed attempted termination of pregnancy with other and unspecified complications

Non-billable headerICD-10-CM

O07.3 is a non-billable header ICD-10-CM code for failed attempted termination of pregnancy with other and unspecified complications. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 inherited from the categories above O07.3

These are not written on O07.3, but they bind it: a note on a category applies to every code beneath it. Billing O07.3 with anything listed here is a denial.

Written on O07 — Failed attempted termination of pregnancy

incomplete spontaneous abortion (O03.0-)

Other codes that can never be billed with O07.3

These codes carry an Excludes1 note pointing at O07.3. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O07.3 alone.

O02.1Missed abortion
O07.0Genital tract and pelvic infection following failed attempted termination of pregnancy
O07.31Shock following failed attempted termination of pregnancy
O22Venous complications and hemorrhoids in pregnancy

Risk adjustment

O07.3 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 history

O07.3 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead O07.3

10 child codes. Green means billable.

Related codes at this level

Codes that share O07. If O07.3 is not quite right, the correct code is usually one of these.

Questions about O07.3

Is O07.3 a billable ICD-10-CM code?: No. O07.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does O07.3 sit in the tabular list?: Pregnancy, childbirth and the puerperium (O00-O9A), in the block Pregnancy with abortive outcome (O00-O08).
What cannot be coded together with O07.3?: O07.3 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above O07.3 (O07) and apply to it just the same.