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Compare/O03.0 vs O03.38

O03.0 vs O03.38

O03.0 (Genital tract and pelvic infection following incomplete spontaneous abortion) compared with O03.38 (Urinary tract infection 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 O03.38: “urinary tract infection following incomplete spontaneous abortion (O03.38)”

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 abortionO03.38Urinary tract infection following incomplete spontaneous abortion
Billing statusBillableBillable
ClassificationO00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)
DefinitionGenital tract and pelvic infection following incomplete spontaneous abortion is a billable ICD-10-CM diagnosis code (O03.0).Urinary tract infection following incomplete spontaneous abortion is a billable ICD-10-CM diagnosis code (O03.38).
Includes
miscarriage
Endometritis following incomplete spontaneous abortion
Oophoritis following incomplete spontaneous abortion
Parametritis following incomplete spontaneous abortion
miscarriage
Cystitis following incomplete spontaneous abortion

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