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O00 vs R57

O00 (Ectopic pregnancy) compared with R57 (Shock, not elsewhere classified), 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. R57 carries an Excludes1 note covering O00: “shock complicating or following 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 pregnancyR57Shock, not elsewhere classified
Billing statusNon-billable header

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

Non-billable header

Report instead: R57.0, R57.1, R57.8, R57.9

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).Shock, not elsewhere classified is a non-billable ICD-10-CM category code (R57).
Includes
ruptured ectopic pregnancy
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