2017/18 ICD-10-CM Diagnosis Code O04.5

Genital tract and pelvic infection following (induced) termination of pregnancy

ICD-10-CM Coding Rules
Applicable To
  • Endometritis following (induced) termination of pregnancy
  • Oophoritis following (induced) termination of pregnancy
  • Parametritis following (induced) termination of pregnancy
  • Pelvic peritonitis following (induced) termination of pregnancy
  • Salpingitis following (induced) termination of pregnancy
  • Salpingo-oophoritis following (induced) termination of pregnancy
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as O04.5. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • sepsis following (induced) termination of pregnancy (
    ICD-10-CM Diagnosis Code O04.87

    Sepsis following (induced) termination of pregnancy

      2016 2017 2018 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    Type 1 Excludes
    • septic or septicopyemic embolism following (induced) termination of pregnancy (O04.7)
    Use Additional
    • code to identify infectious agent (B95-B97)
    O04.87
    )
  • urinary tract infection following (induced) termination of pregnancy (
    ICD-10-CM Diagnosis Code O04.88

    Urinary tract infection following (induced) termination of pregnancy

      2016 2017 2018 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    Applicable To
    • Cystitis following (induced) termination of pregnancy
    O04.88
    )
The following code(s) above O04.5 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to O04.5:
  • O00-O9A
    2018 ICD-10-CM Range O00-O9A

    Pregnancy, childbirth and the puerperium

    Note
    • CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
    • Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
    • Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
    • 1st trimester- less than 14 weeks 0 days
    • 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
    • 3rd trimester- 28 weeks 0 days until delivery
    Type 1 Excludes
    • supervision of normal pregnancy (Z34.-)
    Type 2 Excludes
    • 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 from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
    Pregnancy, childbirth and the puerperium
  • O00-O08
    2018 ICD-10-CM Range O00-O08

    Pregnancy with abortive outcome

    Type 1 Excludes
    • continuing pregnancy in multiple gestation after abortion of one fetus or more (O31.1-, O31.3-)
    Pregnancy with abortive outcome
  • O04
    ICD-10-CM Diagnosis Code O04

    Complications following (induced) termination of pregnancy

      2016 2017 2018 Non-Billable/Non-Specific Code
    Includes
    • complications following (induced) termination of pregnancy
    Type 1 Excludes
    • encounter for elective termination of pregnancy, uncomplicated (Z33.2)
    • failed attempted termination of pregnancy (O07.-)
    Complications following (induced) termination of pregnancy
Approximate Synonyms ICD-10-CM O04.5 is grouped within Diagnostic Related Group(s) (MS-DRG v35.0):

Convert O04.5 to ICD-9-CM

Code History

Diagnosis Index entries containing back-references to O04.5:

ICD-10-CM Codes Adjacent To O04.5
O03.82 Renal failure following complete or unspecified spontaneous abortion
O03.83 Metabolic disorder following complete or unspecified spontaneous abortion
O03.84 Damage to pelvic organs following complete or unspecified spontaneous abortion
O03.85 Other venous complications following complete or unspecified spontaneous abortion
O03.86 Cardiac arrest following complete or unspecified spontaneous abortion
O03.87 Sepsis following complete or unspecified spontaneous abortion
O03.88 Urinary tract infection following complete or unspecified spontaneous abortion
O03.89 Complete or unspecified spontaneous abortion with other complications
O03.9 Complete or unspecified spontaneous abortion without complication
O04 Complications following (induced) termination of pregnancy
O04.5 Genital tract and pelvic infection following (induced) termination of pregnancy
O04.6 Delayed or excessive hemorrhage following (induced) termination of pregnancy
O04.7 Embolism following (induced) termination of pregnancy
O04.8 (Induced) termination of pregnancy with other and unspecified complications
O04.80 (Induced) termination of pregnancy with unspecified complications
O04.81 Shock following (induced) termination of pregnancy
O04.82 Renal failure following (induced) termination of pregnancy
O04.83 Metabolic disorder following (induced) termination of pregnancy
O04.84 Damage to pelvic organs following (induced) termination of pregnancy
O04.85 Other venous complications following (induced) termination of pregnancy
O04.86 Cardiac arrest following (induced) termination of pregnancy

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.