O03.5
Billable codeGenital tract and pelvic infection following complete or unspecified spontaneous abortion
The ICD-10 code for genital tract and pelvic infection following complete or unspecified spontaneous abortion is O03.5.
Clinical notes
Excludes1 (not coded here)
An Excludes1 note is a pure exclusion: the excluded condition and this code should never be reported together, because the two conditions cannot occur at the same time (e.g. a congenital form vs. an acquired form of the same disease).
Also known as
Alternate wording, synonyms, or specific conditions that fall under this code, listed to help confirm you've picked the right one.
- Endometritis following complete or unspecified spontaneous abortion
- Oophoritis following complete or unspecified spontaneous abortion
- Parametritis following complete or unspecified spontaneous abortion
- Pelvic peritonitis following complete or unspecified spontaneous abortion
- Salpingitis following complete or unspecified spontaneous abortion
- Salpingo-oophoritis following complete or unspecified spontaneous abortion
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This code describes an unspecified presentation. If the medical record documents a more specific detail (e.g. laterality, type, or affected site), a more specific sibling code should be used instead — see Related codes below.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- 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 abortionnon-billable header
- O03.4Incomplete spontaneous abortion without complication
- 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 abortionnon-billable header
- O03.9Complete or unspecified spontaneous abortion without complication
- O03.5Genital tract and pelvic infection following complete or unspecified spontaneous abortion
ICD-9-CM equivalent
Informational only — GEM mappings are approximate, not guaranteed one-to-one equivalents. Verify before use in billing.
- 63400Approximate match
- 63402Approximate match
Associated MS-DRGs
O03.5 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.
Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.