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Compare/O03 vs Z33.2

O03 vs Z33.2

O03 (Spontaneous abortion) compared with Z33.2 (Encounter for elective termination of 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. Z33.2 carries an Excludes1 note covering O03: “spontaneous abortion (O03)”

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

O03Spontaneous abortionZ33.2Encounter for elective termination of pregnancy
Billing statusNon-billable header

Report instead: O03.0, O03.1, O03.2, O03.30, O03.31

Billable
ClassificationO00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99)
DefinitionSpontaneous abortion is a non-billable ICD-10-CM category code (O03).Encounter for elective termination of pregnancy is a billable ICD-10-CM diagnosis code (Z33.2).
Includes
miscarriage

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