O03 — Spontaneous abortion
Is O03 billable?
No — O03 is a non-billable header code. O03 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 28 billable codes beneath O03.
Billable codes under this header
- O03.0Genital tract and pelvic infection following incomplete spontaneous abortion
- O03.1Delayed or excessive hemorrhage following incomplete spontaneous abortion
- O03.2Embolism following incomplete spontaneous abortion
- O03.4Incomplete spontaneous abortion without complication
- O03.5Genital tract and pelvic infection following complete or unspecified spontaneous abortion
- O03.6Delayed or excessive hemorrhage following complete or unspecified spontaneous abortion
- O03.7Embolism following complete or unspecified spontaneous abortion
- O03.9Complete or unspecified spontaneous abortion without complication
- O03.30Unspecified complication following incomplete spontaneous abortion
- O03.31Shock following incomplete spontaneous abortion
- O03.32Renal failure following incomplete spontaneous abortion
- O03.33Metabolic disorder following incomplete spontaneous abortion
- O03.34Damage to pelvic organs following incomplete spontaneous abortion
- O03.35Other venous complications following incomplete spontaneous abortion
- O03.36Cardiac arrest following incomplete spontaneous abortion
- O03.37Sepsis following incomplete spontaneous abortion
- O03.38Urinary tract infection following incomplete spontaneous abortion
- O03.39Incomplete spontaneous abortion with other complications
- O03.80Unspecified complication following complete or unspecified spontaneous abortion
- O03.81Shock following complete or unspecified spontaneous abortion
- O03.82Renal failure following complete or unspecified spontaneous abortion
- O03.83Metabolic disorder following complete or unspecified spontaneous abortion
- O03.84Damage to pelvic organs following complete or unspecified spontaneous abortion
- O03.85Other venous complications following complete or unspecified spontaneous abortion
- O03.86Cardiac arrest following complete or unspecified spontaneous abortion
- O03.87Sepsis following complete or unspecified spontaneous abortion
- O03.88Urinary tract infection following complete or unspecified spontaneous abortion
- O03.89Complete or unspecified spontaneous abortion with other complications
O03 at a glance
| Code | O03 |
|---|---|
| Description | Spontaneous abortion |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Includes
Conditions classified to O03.
- miscarriage
Note
- Incomplete abortion includes retained products of conception following spontaneous abortion
Excludes1 — never code together — inherited from Chapter 15
The conditions below can never be reported together with O03 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- supervision of normal pregnancy (Z34.-)
Excludes1 — never code together — inherited from O00-O08
The conditions below can never be reported together with O03 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Use additional code — inherited from Chapter 15
Report an additional code alongside O03 to fully describe the condition. O03 is sequenced first.
- code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
Excludes2 — not included here — inherited from Chapter 15
The conditions below are not part of O03, but a patient may have both at the same time. When documentation supports it, O03 and the excluded code may both be reported.
What codes fall under O03? (10)
- O03.0Genital tract and pelvic infection following incomplete spontaneous abortion
- O03.1Delayed or excessive hemorrhage following incomplete spontaneous abortion
- O03.2Embolism following incomplete spontaneous abortion
- O03.3Other and unspecified complications following incomplete spontaneous abortionnot billable
- O03.4Incomplete spontaneous abortion without complication
- O03.5Genital tract and pelvic infection following complete or unspecified spontaneous abortion
- O03.6Delayed or excessive hemorrhage following complete or unspecified spontaneous abortion
- O03.7Embolism following complete or unspecified spontaneous abortion
- O03.8Other and unspecified complications following complete or unspecified spontaneous abortionnot billable
- O03.9Complete or unspecified spontaneous abortion without complication
How long has O03 existed?
O03 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which codes are confused with O03?
ICD-10-CM declares these codes mutually exclusive with O03 — exactly one of each pair can be correct for a given encounter.