O03.5
Billable

Genital tract and pelvic infection following complete or unspecified spontaneous abortion

Billable / Specific Code

What is Genital tract and pelvic infection following complete or unspecified spontaneous abortion?

ICD-10-CM O03.5 is the diagnosis code for Genital tract and pelvic infection following complete or unspecified spontaneous abortion. 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.

💡 Inclusions
⛔ Excludes1

Coding Guidelines for O03.5

✅ This Code Includes

  • Endometritis following complete or unspecified spontaneous abortion
  • Oophoritis following complete or unspecified spontaneous abortion
  • Parametritis following complete or unspecified spontaneous abortion
  • Pelvic peritonitis following complete or unspecified spontaneous abortion
  • Salpingitis following complete or unspecified spontaneous abortion
  • Salpingo-oophoritis following complete or unspecified spontaneous abortion

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as O03.5. They are mutually exclusive:

  • sepsis following complete or unspecified spontaneous abortion (O03.87)
  • urinary tract infection following complete or unspecified spontaneous abortion (O03.88)

ICD-10-CM Code Hierarchy

Understanding where O03.5 sits in the ICD-10-CM classification helps ensure proper coding:

Current CodeO03.5 — Genital tract and pelvic infection following complete or unspecified spontaneous abortion
Related Codes

Frequently Asked Questions

Is O03.5 a billable ICD-10-CM code?

Yes, O03.5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What does O03.5 mean?

O03.5 is the ICD-10-CM diagnosis code for "Genital tract and pelvic infection following complete or unspecified spontaneous abortion". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of O03.5?

The parent code of O03.5 is O03 ("Spontaneous abortion"). O03.5 provides a more specific classification within this category.

What section is O03.5 in?

O03.5 is located in Section O00-O08 — "Pregnancy with abortive outcome" within Chapter 15 of the ICD-10-CM Tabular List.

When should I use O03.5?

Use O03.5 when the patients documented diagnosis matches "Genital tract and pelvic infection following complete or unspecified spontaneous abortion" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Genital tract and pelvic infection following complete or unspecified spontaneous abortion?

The ICD-10-CM code for Genital tract and pelvic infection following complete or unspecified spontaneous abortion is O03.5.

Can O03.5 be used for primary diagnosis?

Yes, O03.5 can be used as a primary diagnosis code since it is billable and specific.

What chapter is O03.5 in?

O03.5 is in Chapter 15 of the ICD-10-CM Tabular List.

What conditions are excluded from O03.5?

Type 1 Excludes for O03.5 include: sepsis following complete or unspecified spontaneous abortion (O03.87); urinary tract infection following complete or unspecified spontaneous abortion (O03.88).

Is O03.5 valid for 2026?

Yes, O03.5 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousO03.4Incomplete spontaneous abortion without complicationNext →O03.6Delayed or excessive hemorrhage following complete or unspecified spontaneous abortion
Code Details
O03.5
Genital tract and pelvic infection following complete or unspecified spontaneous abortion
Billable / Specific Code
15 — Pregnancy, childbirth and the puerperium (O00-O9A)
O00-O08 — Pregnancy with abortive outcome
2026 ICD-10-CM