Billable / Specific Code
ICD-10-CM O04.5 is the diagnosis code for Genital tract and pelvic infection following (induced) termination of pregnancy. This code falls under the section "Pregnancy with abortive outcome" within Chapter 15 — Pregnancy, childbirth and the puerperium (O00-O9A). It is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
The following conditions should never be coded at the same time as O04.5. They are mutually exclusive:
Understanding where O04.5 sits in the ICD-10-CM classification helps ensure proper coding:
Yes, O04.5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
O04.5 is the ICD-10-CM diagnosis code for "Genital tract and pelvic infection following (induced) termination of pregnancy". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of O04.5 is O04 ("Complications following (induced) termination of pregnancy"). O04.5 provides a more specific classification within this category.
O04.5 is located in Section O00-O08 — "Pregnancy with abortive outcome" within Chapter 15 of the ICD-10-CM Tabular List.
Use O04.5 when the patients documented diagnosis matches "Genital tract and pelvic infection following (induced) termination of pregnancy" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Genital tract and pelvic infection following (induced) termination of pregnancy is O04.5.
Yes, O04.5 can be used as a primary diagnosis code since it is billable and specific.
O04.5 is in Chapter 15 of the ICD-10-CM Tabular List.
Type 1 Excludes for O04.5 include: sepsis following (induced) termination of pregnancy (O04.87); urinary tract infection following (induced) termination of pregnancy (O04.88).
Yes, O04.5 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.