O03.7 vs O03.87
O03.7 (Embolism following complete or unspecified spontaneous abortion) compared with O03.87 (Sepsis 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. O03.87 carries an Excludes1 note covering O03.7: “septic or septicopyemic embolism following complete or unspecified spontaneous abortion (O03.7)”
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
| O03.7Embolism following complete or unspecified spontaneous abortion | O03.87Sepsis 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 | Embolism following complete or unspecified spontaneous abortion is a billable ICD-10-CM diagnosis code (O03.7). | Sepsis following complete or unspecified spontaneous abortion is a billable ICD-10-CM diagnosis code (O03.87). |
| Includes | miscarriage Air embolism following complete or unspecified spontaneous abortion Amniotic fluid embolism following complete or unspecified spontaneous abortion Blood-clot embolism following complete or unspecified 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