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Compare/O00 vs R55

O00 vs R55

O00 (Ectopic pregnancy) compared with R55 (Syncope and collapse), 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. R55 carries an Excludes1 note covering O00: “shock complicating or following abortion or ectopic or molar pregnancy (O00-O07, O08.3)”

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 pregnancyR55Syncope and collapse
Billing statusNon-billable header

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

Billable
ClassificationO00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99)
DefinitionEctopic pregnancy is a non-billable ICD-10-CM category code (O00).Syncope and collapse is a billable ICD-10-CM diagnosis code (R55).
Includes
ruptured ectopic pregnancy
Blackout
Fainting
Vasovagal attack
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