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    v1.0.28
    OpenPayerBilling CodesPregnancy with abortive outcomeICD-10-CM o04-complications-following-termination-of-pregnancy
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    ICD-10-CM Code For Complications Following Induced Termination Of Pregnancy: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group O04 includes diagnoses describing complications following an induced termination of pregnancy, such as retained products of conception, infection, hemorrhage, and incomplete abortion. These ICD-10-CM diagnosis codes are used to document post-abortion clinical scenarios, capturing disease severity, the need for intervention, and associated complications relevant to reproductive health care. Accurate coding within the ICD-10-CM O04 group supports proper claim adjudication and complete clinical documentation and appropriate reimbursement.

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    ICD-10-CM O04: Complications Following (Induced) Termination Of Pregnancy Overview

    This group covers complications that occur after an induced termination of pregnancy, affecting the reproductive and related systems. These diagnoses capture retained products of conception, infection, hemorrhage, and other post-abortion complications. Accurate coding is important for clinical records and supports appropriate reimbursement by reflecting the complexity of care required.

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    When to Use

    Use a code from this group when a patient presents with signs or diagnoses attributable to complications following an induced termination of pregnancy. Apply the specific code that matches the documented complication, severity, and any associated conditions.

    ICD-10-CM Codes

    13 rows

    ICD-10-CM CodeDescription
    O04.5Genital tract and pelvic infection following (induced) termination of pregnancy
    O04.6Delayed or excessive hemorrhage following (induced) termination of pregnancy
    O04.7Embolism following (induced) termination of pregnancy
    O04.80(Induced) termination of pregnancy with unspecified complications
    O04.81Shock following (induced) termination of pregnancy
    O04.82Renal failure following (induced) termination of pregnancy
    O04.83Metabolic disorder following (induced) termination of pregnancy
    O04.84Damage to pelvic organs following (induced) termination of pregnancy
    O04.85Other venous complications following (induced) termination of pregnancy
    O04.86Cardiac arrest following (induced) termination of pregnancy
    O04.87Sepsis following (induced) termination of pregnancy
    O04.88Urinary tract infection following (induced) termination of pregnancy
    O04.89(Induced) termination of pregnancy with other complications

    DRG Codes

    2 rows

    DRG CodeDescription
    770Abortion with D&C, Aspiration Curettage or Hysterotomy
    779Abortion without D&C

    Typical Clinical Scenarios

    • A 28-year-old woman presents to the emergency department with sudden heavy vaginal bleeding and lower abdominal cramping two days after a medication-induced termination of pregnancy performed at 9 weeks gestation at an outpatient clinic. She is hemodynamically stable but reports passage of tissue; ultrasound shows retained intrauterine tissue and ongoing bleeding. A diagnosis from this group is assigned because the abortive procedure was followed by retained products causing hemorrhage and pain requiring clinical evaluation and possible surgical management. Typical codes: O0481, O047.
    • A 22-year-old patient returns to her family planning clinic one week after an induced abortion with persistent moderate vaginal bleeding, malodorous discharge, and low-grade fever. Examination and testing suggest endometritis following the procedure, and she requires antibiotics and follow-up. A code from this group is used to capture the postabortal infection as a complication of the termination. Typical codes: O0483, O0482.
    • A 35-year-old woman presents for routine follow-up three weeks after a surgical termination performed at 12 weeks; she reports minimal bleeding but an ultrasound detects an incomplete abortion with small retained fragments but no active bleeding or signs of infection. The encounter documents monitoring and conservative management with planned outpatient surveillance or possible repeat evacuation if not resolved. A diagnosis from this group is assigned to describe the incomplete abortive outcome without current hemorrhage or infection. Typical codes: O046, O0489.

    Related Codes

    O00-ECTOPIC-PREGNANCY

    ICD-10-CM Code For Ectopic Pregnancy: Group Overview

    O01-HYDATIDIFORM-MOLE

    ICD-10-CM Code For Hydatidiform Mole: Group Overview

    O02-OTHER-ABNORMAL-PRODUCTS-OF-CONCEPTION

    ICD-10-CM Code For Other Abnormal Products Of Conception: Group Overview

    O03-SPONTANEOUS-ABORTION

    ICD-10-CM Code For Spontaneous Abortion: Group Overview

    O07-FAILED-ATTEMPTED-TERMINATION-OF-PREGNANCY

    ICD-10-CM Code For Failed Attempted Termination Of Pregnancy: Group Overview

    O08-COMPLICATIONS-FOLLOWING-ECTOPIC-AND-MOLAR-PREGNANCY

    ICD-10-CM Code For Complications Following Ectopic And Molar Pregnancy: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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