O31.11

O31.11: Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester

Non-billable headerICD-10-CM

O31.11 is a non-billable header ICD-10-CM code for continuing pregnancy after spontaneous abortion of one fetus or more, first trimester. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

One of the following 7th characters is to be assigned to each code under category O31. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from category O31 that has a 7th character of 1 through 9.

0: not applicable or unspecified
1: fetus 1
2: fetus 2
3: fetus 3
4: fetus 4
5: fetus 5
9: other fetus

Excludes2 inherited from the categories above O31.11

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

Written on O31: Complications specific to multiple gestation

delayed delivery of second twin, triplet, etc. (O63.2)
malpresentation of one fetus or more (O32.9)
placental transfusion syndromes (O43.0-)

Risk adjustment

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

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead O31.11

7 child codes. Green means billable.