O00 vs T81
O00 (Ectopic pregnancy) compared with T81 (Complications of procedures, not elsewhere classified), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. T81 carries an Excludes2 note covering O00: “complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| O00Ectopic pregnancy | T81Complications of procedures, not elsewhere classified | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header Report instead: T81.10XA, T81.10XD, T81.10XS, T81.11XA, T81.11XD |
| Classification | O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Ectopic pregnancy is a non-billable ICD-10-CM category code (O00). | Complications of procedures, not elsewhere classified is a non-billable ICD-10-CM category code (T81). |
| 7th character | — | The appropriate 7th character is to be added to each code from category T81 |
| Includes | ruptured ectopic pregnancy | — |
| Use additional code | code from category O08 to identify any associated complication | code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5) code(s) to identify the specified condition resulting from the complication code to identify devices involved and details of circumstances (Y62-Y82) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources