O00 vs T81.72XD
O00 (Ectopic pregnancy) compared with T81.72XD (Complication of vein following a procedure, not elsewhere classified, subsequent encounter), 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. T81.72XD carries an Excludes1 note covering O00: “embolism complicating abortion or ectopic or molar pregnancy (O00-O07, O08.2)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Yes, when both are documented. T81.72XD 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 | T81.72XDComplication of vein following a procedure, not elsewhere classified, subsequent encounter | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| 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). | Complication of vein following a procedure, not elsewhere classified, subsequent encounter is a billable ICD-10-CM diagnosis code (T81.72D). |
| 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