2021 ICD-10-CM Diagnosis Code O08.4

Renal failure following ectopic and molar pregnancy

    2016 2017 2018 2019 2020 2021 Billable/Specific Code Maternity Dx (12-55 years)
  • O08.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2021 edition of ICD-10-CM O08.4 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of O08.4 - other international versions of ICD-10 O08.4 may differ.
ICD-10-CM Coding Rules
  • O08.4 is applicable to maternity patients aged 12 - 55 years inclusive.
Applicable To
  • Kidney failure (acute) following ectopic and molar pregnancy
  • Oliguria following ectopic and molar pregnancy
  • Renal shutdown following ectopic and molar pregnancy
  • Renal tubular necrosis following ectopic and molar pregnancy
  • Uremia following ectopic and molar pregnancy
The following code(s) above O08.4 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 O08.4:
  • O00-O9A
    2021 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
    2021 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
  • O08
    ICD-10-CM Diagnosis Code O08

    Complications following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Applicable To
    • This category is for use with categories O00-O02 to identify any associated complications
    Complications following ectopic and molar pregnancy
Approximate Synonyms
  • Abnormal growth in uterus with kidney disease
  • Ectopic (not in uterus) pregnancy with kidney disease
  • Renal failure after ectopic pregnancy
  • Renal failure following molar pregnancy
ICD-10-CM O08.4 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
  • 769 Postpartum and post abortion diagnoses with o.r. Procedures
  • 776 Postpartum and post abortion diagnoses without o.r. Procedures

Convert O08.4 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
Code annotations containing back-references to O08.4:
  • Type 1 Excludes: R34
    ICD-10-CM Diagnosis Code R34

    Anuria and oliguria

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Type 1 Excludes
    • anuria and oliguria complicating abortion or ectopic or molar pregnancy (O00-O07, O08.4)
    • anuria and oliguria complicating pregnancy (O26.83-)
    • anuria and oliguria complicating the puerperium (O90.4)

Diagnosis Index entries containing back-references to O08.4:
  • Anuria R34
    ICD-10-CM Diagnosis Code R34

    Anuria and oliguria

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Type 1 Excludes
    • anuria and oliguria complicating abortion or ectopic or molar pregnancy (O00-O07, O08.4)
    • anuria and oliguria complicating pregnancy (O26.83-)
    • anuria and oliguria complicating the puerperium (O90.4)
  • Complication(s) (from) (of)
    • ectopic pregnancy O08.9
      ICD-10-CM Diagnosis Code O08.9

      Unspecified complication following an ectopic and molar pregnancy

        2016 2017 2018 2019 2020 2021 Billable/Specific Code Maternity Dx (12-55 years)
      • renal failure O08.4
    • molar pregnancy NOS O08.9
      ICD-10-CM Diagnosis Code O08.9

      Unspecified complication following an ectopic and molar pregnancy

        2016 2017 2018 2019 2020 2021 Billable/Specific Code Maternity Dx (12-55 years)
      • renal failure O08.4
  • Failure, failed
    • renal N19
      ICD-10-CM Diagnosis Code N19

      Unspecified kidney failure

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Uremia NOS
      Type 1 Excludes
      • acute kidney failure (N17.-)
      • chronic kidney disease (N18.-)
      • chronic uremia (N18.9)
      • extrarenal uremia (R39.2)
      • prerenal uremia (R39.2)
      • renal insufficiency (acute) (N28.9)
      • uremia of newborn (P96.0)
  • Necrosis, necrotic (ischemic) - see also Gangrene
    • kidney (bilateral) N28.0
      ICD-10-CM Diagnosis Code N28.0

      Ischemia and infarction of kidney

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Renal artery embolism
      • Renal artery obstruction
      • Renal artery occlusion
      • Renal artery thrombosis
      • Renal infarct
      Type 1 Excludes
      • atherosclerosis of renal artery (extrarenal part) (I70.1)
      • congenital stenosis of renal artery (Q27.1)
      • Goldblatt's kidney (I70.1)
      • cortical (acute) (bilateral) N17.1
        ICD-10-CM Diagnosis Code N17.1

        Acute kidney failure with acute cortical necrosis

          2016 2017 2018 2019 2020 2021 Billable/Specific Code
        Applicable To
        • Acute cortical necrosis
        • Cortical necrosis NOS
        • Renal cortical necrosis
        • with ectopic or molar pregnancy O08.4
      • tubular N17.0
        ICD-10-CM Diagnosis Code N17.0

        Acute kidney failure with tubular necrosis

          2016 2017 2018 2019 2020 2021 Billable/Specific Code
        Applicable To
        • Acute tubular necrosis
        • Renal tubular necrosis
        • Tubular necrosis NOS
        • complicating
          • ectopic or molar pregnancy O08.4
        • with ectopic or molar pregnancy O08.4
        • following ectopic or molar pregnancy O08.4
  • Oliguria R34
    ICD-10-CM Diagnosis Code R34

    Anuria and oliguria

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Type 1 Excludes
    • anuria and oliguria complicating abortion or ectopic or molar pregnancy (O00-O07, O08.4)
    • anuria and oliguria complicating pregnancy (O26.83-)
    • anuria and oliguria complicating the puerperium (O90.4)
    • with, complicating or following ectopic or molar pregnancy O08.4
  • Pregnancy (single) (uterine) Z33.1
    - see also Delivery and Puerperal
    ICD-10-CM Diagnosis Code Z33.1

    Pregnant state, incidental

      2016 2017 2018 2019 2020 2021 Billable/Specific Code Maternity Dx (12-55 years)
    Applicable To
    • Pregnancy NOS
    • Pregnant state NOS
    Type 1 Excludes
    • complications of pregnancy (O00-O9A)
    • pregnant state, gestational carrier (Z33.3)
    • ectopic (ruptured) O00.90
      ICD-10-CM Diagnosis Code O00.90

      Unspecified ectopic pregnancy without intrauterine pregnancy

        2017 - New Code 2018 2019 2020 2021 Billable/Specific Code Maternity Dx (12-55 years)
      Applicable To
      • Ectopic pregnancy NOS
      • complicated (by) O08.9
        ICD-10-CM Diagnosis Code O08.9

        Unspecified complication following an ectopic and molar pregnancy

          2016 2017 2018 2019 2020 2021 Billable/Specific Code Maternity Dx (12-55 years)
        • oliguria O08.4
        • renal failure or shutdown O08.4
        • tubular necrosis O08.4 (renal)
        • uremia O08.4
    • molar NEC O02.0
      ICD-10-CM Diagnosis Code O02.0

      Blighted ovum and nonhydatidiform mole

        2016 2017 2018 2019 2020 2021 Billable/Specific Code Maternity Dx (12-55 years)
      Applicable To
      • Carneous mole
      • Fleshy mole
      • Intrauterine mole NOS
      • Molar pregnancy NEC
      • Pathological ovum
      • complicated (by) O08.9
        ICD-10-CM Diagnosis Code O08.9

        Unspecified complication following an ectopic and molar pregnancy

          2016 2017 2018 2019 2020 2021 Billable/Specific Code Maternity Dx (12-55 years)
        • oliguria O08.4
        • renal failure or shutdown O08.4
        • tubular necrosis O08.4 (renal)
        • uremia O08.4
  • Uremia, uremic N19
    ICD-10-CM Diagnosis Code N19

    Unspecified kidney failure

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Uremia NOS
    Type 1 Excludes
    • acute kidney failure (N17.-)
    • chronic kidney disease (N18.-)
    • chronic uremia (N18.9)
    • extrarenal uremia (R39.2)
    • prerenal uremia (R39.2)
    • renal insufficiency (acute) (N28.9)
    • uremia of newborn (P96.0)
    • with
      • ectopic or molar pregnancy O08.4
    • complicating
      • ectopic or molar pregnancy O08.4
    • following ectopic or molar pregnancy O08.4

ICD-10-CM Codes Adjacent To O08.4
O07.36 Cardiac arrest following failed attempted termination of pregnancy
O07.37 Sepsis following failed attempted termination of pregnancy
O07.38 Urinary tract infection following failed attempted termination of pregnancy
O07.39 Failed attempted termination of pregnancy with other complications
O07.4 Failed attempted termination of pregnancy without complication
O08 Complications following ectopic and molar pregnancy
O08.0 Genital tract and pelvic infection following ectopic and molar pregnancy
O08.1 Delayed or excessive hemorrhage following ectopic and molar pregnancy
O08.2 Embolism following ectopic and molar pregnancy
O08.3 Shock following ectopic and molar pregnancy
O08.4 Renal failure following ectopic and molar pregnancy
O08.5 Metabolic disorders following an ectopic and molar pregnancy
O08.6 Damage to pelvic organs and tissues following an ectopic and molar pregnancy
O08.7 Other venous complications following an ectopic and molar pregnancy
O08.8 Other complications following an ectopic and molar pregnancy
O08.81 Cardiac arrest following an ectopic and molar pregnancy
O08.82 Sepsis following ectopic and molar pregnancy
O08.83 Urinary tract infection following an ectopic and molar pregnancy
O08.89 Other complications following an ectopic and molar pregnancy
O08.9 Unspecified complication following an ectopic and molar pregnancy
O09 Supervision of high risk pregnancy

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