O04.7 vs O88
O04.7 and O88 can never be reported together. ICD-10-CM declares them mutually exclusive with an Excludes1 note, meaning the two conditions cannot occur in the same patient — so exactly one of them is correct for any given encounter.
The official note, declared on O88
embolism complicating induced abortion (O04.7)
O04.7
Embolism following (induced) termination of pregnancy
Billable
- Chapter 15
- Pregnancy, childbirth and the puerperium
- Section
- O00-O08
Use when the record says
- Air embolism following (induced) termination of pregnancy
- Amniotic fluid embolism following (induced) termination of pregnancy
- Blood-clot embolism following (induced) termination of pregnancy
- Embolism NOS following (induced) termination of pregnancy
- Fat embolism following (induced) termination of pregnancy
- Pulmonary embolism following (induced) termination of pregnancy
- Pyemic embolism following (induced) termination of pregnancy
- Septic or septicopyemic embolism following (induced) termination of pregnancy
Indexed under
- Abortion › induced › complicated by › embolism (complete) (spontaneous)
- Abortion › induced › complicated by › venous complication NEC › embolism (complete) (spontaneous)
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