O04
Non-Billable

Complications following (induced) termination of pregnancy

Non-Billable / Non-Specific Code

What is Complications following (induced) termination of pregnancy?

ICD-10-CM O04 is the diagnosis code for Complications 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 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.

â„šī¸ Excludes2

Coding Guidelines for O04

â„šī¸ Type 2 Excludes (Code separately if applicable)

The following conditions are not included in O04. If the patient has both, code each condition separately:

  • encounter for elective termination of pregnancy (Z33.2)
  • failed attempted termination of pregnancy (O07.-)

ICD-10-CM Code Hierarchy

Understanding where O04 sits in the ICD-10-CM classification helps ensure proper coding:

Current CodeO04 — Complications following (induced) termination of pregnancy
Sub-Codes 4 entries
O04.5Genital tract and pelvic infection following (induced) termination of pregnancyBillableO04.6Delayed or excessive hemorrhage following (induced) termination of pregnancyBillableO04.7Embolism following (induced) termination of pregnancyBillableO04.8(Induced) termination of pregnancy with other and unspecified complicationsNon-BillableO04.80(Induced) termination of pregnancy with unspecified complicationsBillableO04.81Shock following (induced) termination of pregnancyBillableO04.82Renal failure following (induced) termination of pregnancyBillableO04.83Metabolic disorder following (induced) termination of pregnancyBillableO04.84Damage to pelvic organs following (induced) termination of pregnancyBillableO04.85Other venous complications following (induced) termination of pregnancyBillableO04.86Cardiac arrest following (induced) termination of pregnancyBillableO04.87Sepsis following (induced) termination of pregnancyBillableO04.88Urinary tract infection following (induced) termination of pregnancyBillableO04.89(Induced) termination of pregnancy with other complicationsBillable
Related Codes

Frequently Asked Questions

Is O04 a billable ICD-10-CM code?

No, O04 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does O04 mean?

O04 is the ICD-10-CM diagnosis code for "Complications following (induced) termination of pregnancy". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is O04 in?

O04 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 O04?

O04 has 4 sub-code(s) that provide more specific detail: O04.5, O04.6, O04.7, O04.8.

When should I use O04?

Use O04 when the patients documented diagnosis matches "Complications 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.

People Also Ask

What is the ICD-10 code for Complications following (induced) termination of pregnancy?

The ICD-10-CM code for Complications following (induced) termination of pregnancy is O04.

Can O04 be used for primary diagnosis?

No, O04 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is O04 in?

O04 is in Chapter 15 of the ICD-10-CM Tabular List.

Is O04 valid for 2026?

Yes, O04 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousO03.9Complete or unspecified spontaneous abortion without complicationNext →O04.5Genital tract and pelvic infection following (induced) termination of pregnancy
Code Details
O04
Complications following (induced) termination of pregnancy
Non-Billable / Non-Specific Code
15 — Pregnancy, childbirth and the puerperium (O00-O9A)
O00-O08 — Pregnancy with abortive outcome
2026 ICD-10-CM