Excludes1 pair
O03.2 vs O88-
O03.2 and O88 are not coded together. ICD-10-CM declares them mutually exclusive with an Excludes1 note — the two conditions are not expected to occur together, so exactly one of them is normally correct for a given encounter. The Official Guidelines carve out one exception: if the two conditions are clearly unrelated to each other, both may be reported.
The official note, declared on O88
embolism complicating abortion NOS (O03.2)
O03.2
Embolism following incomplete spontaneous abortion
Billable
- Chapter 15
- Pregnancy, childbirth and the puerperium
- Section
- O00-O08
Use when the record says
- Air embolism following incomplete spontaneous abortion
- Amniotic fluid embolism following incomplete spontaneous abortion
- Blood-clot embolism following incomplete spontaneous abortion
- Embolism NOS following incomplete spontaneous abortion
- Fat embolism following incomplete spontaneous abortion
- Pulmonary embolism following incomplete spontaneous abortion
- Pyemic embolism following incomplete spontaneous abortion
- Septic or septicopyemic embolism following incomplete spontaneous abortion
Indexed under
- Abortion › incomplete › complicated › embolism (air) (amniotic fluid) (blood clot) (fat) (pulmonary) (septic) (soap)
- Abortion › incomplete › complicated › venous complication NEC › embolism (air) (amniotic fluid) (blood clot) (fat) (pulmonary) (septic) (soap)
Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027