O03
Non-Billable

Spontaneous abortion

Non-Billable / Non-Specific Code

What is Spontaneous abortion?

ICD-10-CM O03 is the diagnosis code for 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 non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

Coding Guidelines for O03

Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.

ICD-10-CM Code Hierarchy

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

Sub-Codes 10 entries
O03.0Genital tract and pelvic infection following incomplete spontaneous abortionBillableO03.1Delayed or excessive hemorrhage following incomplete spontaneous abortionBillableO03.2Embolism following incomplete spontaneous abortionBillableO03.3Other and unspecified complications following incomplete spontaneous abortionNon-BillableO03.30Unspecified complication following incomplete spontaneous abortionBillableO03.31Shock following incomplete spontaneous abortionBillableO03.32Renal failure following incomplete spontaneous abortionBillableO03.33Metabolic disorder following incomplete spontaneous abortionBillableO03.34Damage to pelvic organs following incomplete spontaneous abortionBillableO03.35Other venous complications following incomplete spontaneous abortionBillableO03.36Cardiac arrest following incomplete spontaneous abortionBillableO03.37Sepsis following incomplete spontaneous abortionBillableO03.38Urinary tract infection following incomplete spontaneous abortionBillableO03.39Incomplete spontaneous abortion with other complicationsBillableO03.4Incomplete spontaneous abortion without complicationBillableO03.5Genital tract and pelvic infection following complete or unspecified spontaneous abortionBillableO03.6Delayed or excessive hemorrhage following complete or unspecified spontaneous abortionBillableO03.7Embolism following complete or unspecified spontaneous abortionBillableO03.8Other and unspecified complications following complete or unspecified spontaneous abortionNon-BillableO03.80Unspecified complication following complete or unspecified spontaneous abortionBillableO03.81Shock following complete or unspecified spontaneous abortionBillableO03.82Renal failure following complete or unspecified spontaneous abortionBillableO03.83Metabolic disorder following complete or unspecified spontaneous abortionBillableO03.84Damage to pelvic organs following complete or unspecified spontaneous abortionBillableO03.85Other venous complications following complete or unspecified spontaneous abortionBillableO03.86Cardiac arrest following complete or unspecified spontaneous abortionBillableO03.87Sepsis following complete or unspecified spontaneous abortionBillableO03.88Urinary tract infection following complete or unspecified spontaneous abortionBillableO03.89Complete or unspecified spontaneous abortion with other complicationsBillableO03.9Complete or unspecified spontaneous abortion without complicationBillable
Related Codes

Frequently Asked Questions

Is O03 a billable ICD-10-CM code?

No, O03 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does O03 mean?

O03 is the ICD-10-CM diagnosis code for "Spontaneous abortion". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is O03 in?

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

What are the sub-codes of O03?

O03 has 10 sub-code(s) that provide more specific detail: O03.0, O03.1, O03.2, O03.3, O03.4 and more.

When should I use O03?

Use O03 when the patients documented diagnosis matches "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 Spontaneous abortion?

The ICD-10-CM code for Spontaneous abortion is O03.

Can O03 be used for primary diagnosis?

No, O03 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is O03 in?

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

Is O03 valid for 2026?

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

See Also

← PreviousO02.9Abnormal product of conception, unspecifiedNext →O03.0Genital tract and pelvic infection following incomplete spontaneous abortion
Code Details
O03
Spontaneous abortion
Non-Billable / Non-Specific Code
15 — Pregnancy, childbirth and the puerperium (O00-O9A)
O00-O08 — Pregnancy with abortive outcome
2026 ICD-10-CM