O03.5 vs O03.88
O03.5 (Genital tract and pelvic infection following complete or unspecified spontaneous abortion) compared with O03.88 (Urinary tract infection following complete or unspecified 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. O03.5 carries an Excludes1 note covering O03.88: “urinary tract infection following complete or unspecified spontaneous abortion (O03.88)”
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
| O03.5Genital tract and pelvic infection following complete or unspecified spontaneous abortion | O03.88Urinary tract infection following complete or unspecified 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 complete or unspecified spontaneous abortion is a billable ICD-10-CM diagnosis code (O03.5). | Urinary tract infection following complete or unspecified spontaneous abortion is a billable ICD-10-CM diagnosis code (O03.88). |
| Includes | miscarriage Endometritis following complete or unspecified spontaneous abortion Oophoritis following complete or unspecified spontaneous abortion Parametritis following complete or unspecified spontaneous abortion | miscarriage Cystitis following complete or unspecified 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