Failed attempted termination of pregnancy
In Pregnancy with abortive outcome (O00-O08), chapter 15: Pregnancy, Childbirth and the Puerperium
14 billable codes under O07: 3 are an MCC, 10 are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.
Advertisements
Instructional notes
Includes: conditions that are coded here
- failure of attempted induction of termination of pregnancy
- incomplete elective abortion
Excludes1: not coded here, use a different code
- incomplete spontaneous abortion (O03.0-)
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 O07
O07 can't be used on a claim. Pick a billable code below; grey headings group them.
- O07.0Genital tract and pelvic infection following failed attempted termination of pregnancy
- O07.1Delayed or excessive hemorrhage following failed attempted termination of pregnancy
- O07.2Embolism following failed attempted termination of pregnancy
- O07.3Failed attempted termination of pregnancy with other and unspecified complications
- O07.30Failed attempted termination of pregnancy with unspecified complications
- O07.31Shock following failed attempted termination of pregnancy
- O07.32Renal failure following failed attempted termination of pregnancy
- O07.33Metabolic disorder following failed attempted termination of pregnancy
- O07.34Damage to pelvic organs following failed attempted termination of pregnancy
- O07.35Other venous complications following failed attempted termination of pregnancy
- O07.36Cardiac arrest following failed attempted termination of pregnancy
- O07.37Sepsis following failed attempted termination of pregnancy
- O07.38Urinary tract infection following failed attempted termination of pregnancy
- O07.39Failed attempted termination of pregnancy with other complications
- O07.4Failed attempted termination of pregnancy without complication
O07 MS-DRGs
As the principal diagnosis, all 14 billable codes under O07 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 O07
Notes on these codes point to O07.
- D65 Excludes2: abortion or ectopic or molar pregnancy (O00-O07, O08.1)
- D68 Excludes2: coagulation defects complicating abortion or ectopic or molar pregnancy (O00-O07, O08.1)
- G08 Excludes1: abortion, ectopic or molar pregnancy (O00-O07, O08.7)
- I26 Excludes2: pulmonary embolism complicating abortion, ectopic or molar pregnancy (O00-O07, O08.2)
- I47 Code First: abortion or ectopic or molar pregnancy (O00-O07, O08.8)
- I49 Code First: abortion or ectopic or molar pregnancy (O00-O07, O08.8)
- I50 Code First: heart failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.8)
- I74 Code First: embolism and thrombosis complicating abortion or ectopic or molar pregnancy (O00-O07, O08.2)
- I80 Code First: if applicable: phlebitis and thrombophlebitis complicating abortion, ectopic or molar pregnancy (O00-O07, O08.7)
- I82 Code First: abortion, ectopic or molar pregnancy (O00-O07, O08.7)
- K65 Excludes1: peritonitis with or following abortion or ectopic or molar pregnancy (O00-O07, O08.0)
- K72 Excludes2: hepatic failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.8)
- N17-N19 Excludes2: renal failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.4)
- N30-N39 Excludes2: abortion or ectopic or molar pregnancy (O00-O07, O08.8)
- N70-N77 Excludes1: abortion or ectopic or molar pregnancy (O00-O07, O08.0)
- O02.1 Excludes1: failed induced abortion (O07.-)
- O04 Excludes2: failed attempted termination of pregnancy (O07.-)
- R34 Excludes1: anuria and oliguria complicating abortion or ectopic or molar pregnancy (O00-O07, O08.4)
- R55 Excludes1: shock complicating or following abortion or ectopic or molar pregnancy (O00-O07, O08.3)
- R57 Excludes1: shock complicating or following ectopic or molar pregnancy (O00-O07, O08.3)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Abortion
An induced abortion is a procedure to end a pregnancy. It can be done two different ways: An induced abortion is different from a spontaneous abortion. That is the loss of a pregnancy before the 20th week of pregnancy. It is more commonly known as a miscarriage.
Read more about abortion on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
