Excludes1 pair
O03.7 vs O88-
O03.7 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.
O03.7
Embolism following complete or unspecified spontaneous abortion
BillableUnspecified
- Chapter 15
- Pregnancy, childbirth and the puerperium
- Section
- O00-O08
Use when the record says
- Air embolism following complete or unspecified spontaneous abortion
- Amniotic fluid embolism following complete or unspecified spontaneous abortion
- Blood-clot embolism following complete or unspecified spontaneous abortion
- Embolism NOS following complete or unspecified spontaneous abortion
- Fat embolism following complete or unspecified spontaneous abortion
- Pulmonary embolism following complete or unspecified spontaneous abortion
- Pyemic embolism following complete or unspecified spontaneous abortion
- Septic or septicopyemic embolism following complete or unspecified spontaneous abortion
Indexed under
- Abortion › complicated › embolism (air) (amniotic fluid) (blood clot) (fat) (pulmonary) (septic) (soap)
- Abortion › 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