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O03.5

Billable

Genital tract and pelvic infection following complete or unspecified spontaneous abortion

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

An infection of the reproductive organs and pelvic area that occurs after a miscarriage is complete or when the completion status is unknown.

Coding Tips

  • Document the type of infection (endometritis, salpingitis, etc.) if available for more specific coding
  • This code applies to post-abortion infections and should be paired with appropriate infection codes if needed

Excludes 1 — Do NOT code together

  • sepsis following complete or unspecified spontaneous abortion (O03.87)
  • urinary tract infection following complete or unspecified spontaneous abortion (O03.88)

Code Hierarchy

O03Spontaneous abortionO03.5Genital tract and pelvic infection following complete or unspecified spontaneous abortion
O03.5Genital tract and pelvic infection following complete or unspecified spontaneous abortion

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