O03

Non-Billable
ChapterO00–O9A
Rankcategory
Official Description

Spontaneous abortion

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 15: Pregnancy, Childbirth and the Puerperium (O00-O9A).

CH15 Parent Instructions

Excludes1(Not coded here. Use a different code.)
  • supervision of normal pregnancy (Z34.-)
Excludes2(Not included here. Code separately if applicable.)
  • mental and behavioral disorders associated with the puerperium (F53.-)
  • obstetrical tetanus (A34)
  • postpartum necrosis of pituitary gland (E23.0)
  • puerperal osteomalacia (M83.0)
Use Additional Code
  • code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.

O00-O08 Parent Instructions

Excludes1(Not coded here. Use a different code.)
  • continuing pregnancy in multiple gestation after abortion of one fetus or more (O31.1-, O31.3-)

Instructional Notes

Includes
  • miscarriage

Clinical Hierarchy

BillableHas subcodes
CH15Pregnancy, childbirth and the puerperium (O00-O9A)
O00-O08Pregnancy with abortive outcome (O00-O08)
O03Spontaneous abortionNot billable
O03.0Genital tract and pelvic infection following incomplete spontaneous abortionBillable
O03.1Delayed or excessive hemorrhage following incomplete spontaneous abortionBillable
O03.2Embolism following incomplete spontaneous abortionBillable
O03.3Other and unspecified complications following incomplete spontaneous abortionSubcodes
O03.4Incomplete spontaneous abortion without complicationBillable
O03.5Genital tract and pelvic infection following complete or unspecified spontaneous abortionBillable
O03.6Delayed or excessive hemorrhage following complete or unspecified spontaneous abortionBillable
O03.7Embolism following complete or unspecified spontaneous abortionBillable
O03.8Other and unspecified complications following complete or unspecified spontaneous abortionSubcodes
O03.9Complete or unspecified spontaneous abortion without complicationBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to O03:

blockO00-O08
Pregnancy with abortive outcome (O00-O08)
View context instructions
chapterCH15
Pregnancy, childbirth and the puerperium (O00-O9A)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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