O03.0 vs O03.37
O03.0 (Genital tract and pelvic infection following incomplete spontaneous abortion) compared with O03.37 (Sepsis following incomplete spontaneous abortion), 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. O03.0 carries an Excludes1 note covering O03.37: “sepsis following incomplete spontaneous abortion (O03.37)”
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
| O03.0Genital tract and pelvic infection following incomplete spontaneous abortion | O03.37Sepsis following incomplete spontaneous abortion | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A) | O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A) |
| Definition | Genital tract and pelvic infection following incomplete spontaneous abortion is a billable ICD-10-CM diagnosis code (O03.0). | Sepsis following incomplete spontaneous abortion is a billable ICD-10-CM diagnosis code (O03.37). |
| Includes | miscarriage Endometritis following incomplete spontaneous abortion Oophoritis following incomplete spontaneous abortion Parametritis following incomplete spontaneous abortion | miscarriage |
| Use additional code | — | code to identify infectious agent (B95-B97) code to identify severe sepsis, if applicable (R65.2-) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources