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Compare/O00 vs O20

O00 vs O20

O00 (Ectopic pregnancy) compared with O20 (Hemorrhage in early pregnancy), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. O20 carries an Excludes1 note covering O00: “pregnancy with abortive outcome (O00-O08)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

O00Ectopic pregnancyO20Hemorrhage in early pregnancy
Billing statusNon-billable header

Report instead: O00.00, O00.01, O00.101, O00.102, O00.109

Non-billable header

Report instead: O20.0, O20.8, O20.9

ClassificationO00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)
DefinitionEctopic pregnancy is a non-billable ICD-10-CM category code (O00).Hemorrhage in early pregnancy is a non-billable ICD-10-CM category code (O20).
Includes
ruptured ectopic pregnancy
hemorrhage before completion of 20 weeks gestation
Use additional code
code from category O08 to identify any associated complication

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources