Spontaneous abortion
In Pregnancy with abortive outcome (O00-O08), chapter 15: Pregnancy, Childbirth and the Puerperium
28 billable codes under O03: 5 are an MCC, 19 are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.
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Instructional notes
Includes: conditions that are coded here
- miscarriage
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Coding of obstetric cases with O00-O9A codes: sequencing priority, trimester and fetus characters, principal diagnosis selection, delivery outcome, and pregnancy-related complications.
- General Rules for Obstetric Cases (page 63)
- Selection of OB Principal or First-listed Diagnosis (page 64)
- Pre-existing conditions versus conditions due to the pregnancy (page 65)
- Pre-existing hypertension in pregnancy (page 66)
- Fetal Conditions Affecting the Management of the Mother (page 66)
- HIV Infection in Pregnancy, Childbirth and the Puerperium (page 66)
- Diabetes mellitus in pregnancy (page 66)
- Long term use of insulin and oral hypoglycemics (page 67)
All codes under O03
O03 can't be used on a claim. Pick a billable code below; grey headings group them.
- O03.0Genital tract and pelvic infection following incomplete spontaneous abortion
- O03.1Delayed or excessive hemorrhage following incomplete spontaneous abortion
- O03.2Embolism following incomplete spontaneous abortion
- O03.3Other and unspecified complications following incomplete spontaneous abortion
- O03.30Unspecified complication following incomplete spontaneous abortion
- O03.31Shock following incomplete spontaneous abortion
- O03.32Renal failure following incomplete spontaneous abortion
- O03.33Metabolic disorder following incomplete spontaneous abortion
- O03.34Damage to pelvic organs following incomplete spontaneous abortion
- O03.35Other venous complications following incomplete spontaneous abortion
- O03.36Cardiac arrest following incomplete spontaneous abortion
- O03.37Sepsis following incomplete spontaneous abortion
- O03.38Urinary tract infection following incomplete spontaneous abortion
- O03.39Incomplete spontaneous abortion with other complications
- O03.4Incomplete spontaneous abortion without complication
- O03.5Genital tract and pelvic infection following complete or unspecified spontaneous abortion
- O03.6Delayed or excessive hemorrhage following complete or unspecified spontaneous abortion
- O03.7Embolism following complete or unspecified spontaneous abortion
- O03.8Other and unspecified complications following complete or unspecified spontaneous abortion
- O03.80Unspecified complication following complete or unspecified spontaneous abortion
- O03.81Shock following complete or unspecified spontaneous abortion
- O03.82Renal failure following complete or unspecified spontaneous abortion
- O03.83Metabolic disorder following complete or unspecified spontaneous abortion
- O03.84Damage to pelvic organs following complete or unspecified spontaneous abortion
- O03.85Other venous complications following complete or unspecified spontaneous abortion
- O03.86Cardiac arrest following complete or unspecified spontaneous abortion
- O03.87Sepsis following complete or unspecified spontaneous abortion
- O03.88Urinary tract infection following complete or unspecified spontaneous abortion
- O03.89Complete or unspecified spontaneous abortion with other complications
- O03.9Complete or unspecified spontaneous abortion without complication
O03 MS-DRGs
As the principal diagnosis, all 28 billable codes under O03 group to MS-DRG 770 or 779 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
Other codes that refer to O03
Notes on these codes point to O03.
- Z33.2 Excludes1: spontaneous abortion (O03)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Miscarriage
A miscarriage is an unexpected loss of pregnancy before the 20th week. Most miscarriages happen very early in the pregnancy, often before a woman even knows she is pregnant.
Read more about miscarriage on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
