O08.4 — Renal failure following ectopic and molar pregnancy

BillableMCC

Is O08.4 billable?

Yes — O08.4 is billable for FY2027. O08.4 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. O08.4 may be submitted for encounters from October 1, 2026 through September 30, 2027.

O08.4 at a glance

Code	O08.4
Description	Renal failure following ectopic and molar pregnancy
Billable	Yes
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027

Which MS-DRGs does O08.4 group to?

O08.4 sits in MDC 14 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

769Postpartum and Post Abortion Diagnoses with O.R. Proceduressurgical

As a secondary diagnosis, O08.4 is a major complication or comorbidity (MCC), which can move a stay into a higher-paying DRG.

How is O08.4 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to O08.4. They show the wording a clinician may have documented, which often differs from the Tabular description.

Oliguria › with, complicating or following ectopic or molar pregnancy
Uremia, uremic › following ectopic or molar pregnancy
Anuria › following › ectopic or molar pregnancy
Complication › ectopic pregnancy › renal failure (s) (from) (of)
Complication › molar pregnancy NOS › renal failure (s) (from) (of)
Uremia, uremic › with › ectopic or molar pregnancy
Uremia, uremic › complicating › ectopic or molar pregnancy
Failure, failed › renal › following › ectopic or molar pregnancy
Necrosis, necrotic › kidney › cortical › with ectopic or molar pregnancy (ischemic)
Necrosis, necrotic › kidney › tubular › with ectopic or molar pregnancy (ischemic)
Necrosis, necrotic › kidney › tubular › following ectopic or molar pregnancy (ischemic)
Pregnancy › ectopic › complicated › oliguria (single) (uterine)

Inclusion terms

Alternative wording in documentation that is classified to O08.4.

Kidney failure (acute) following ectopic and molar pregnancy
Oliguria following ectopic and molar pregnancy
Renal shutdown following ectopic and molar pregnancy
Renal tubular necrosis following ectopic and molar pregnancy
Uremia following ectopic and molar pregnancy

Excludes1 — never code together — inherited from Chapter 15

The conditions below can never be reported together with O08.4 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 O08.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

continuing pregnancy in multiple gestation after abortion of one fetus or more (O31.1-, O31.3-)

Use additional code — inherited from Chapter 15

Report an additional code alongside O08.4 to fully describe the condition. O08.4 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 O08.4, but a patient may have both at the same time. When documentation supports it, O08.4 and the excluded code may both be reported.

mental and behavioral disorders associated with the puerperium (F53.-)
obstetrical tetanus (A34)
postpartum necrosis of pituitary gland (E23.0)
puerperal osteomalacia (M83.0)

How long has O08.4 existed?

O08.4 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 O08.4?

ICD-10-CM declares these codes mutually exclusive with O08.4 — exactly one of each pair can be correct for a given encounter.

vs R34Anuria and oliguria