O07.36
BillableCardiac arrest following failed attempted termination of pregnancy
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is O07.36 an HCC code?
No. O07.36 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
O07.36 is the ICD-10-CM diagnosis code for cardiac arrest following failed attempted termination of pregnancy. The heart stops beating following a failed abortion procedure, requiring emergency resuscitation. O07.36 sits in the ICD-10-CM chapter for pregnancy, childbirth and the puerperium (o00-o9a), within the section covering pregnancy with abortive outcome (o00-o08).
O07.36 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Document whether resuscitation was successful and the patient survived.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for O07.36 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Document whether resuscitation was successful and the patient survived
- •Identify the underlying cause of cardiac arrest if documented (hemorrhage, embolism, sepsis, etc.)