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Compare/O03.89 vs O22

O03.89 vs O22

O03.89 (Complete or unspecified spontaneous abortion with other complications) compared with O22 (Venous complications and hemorrhoids in 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. O22 carries an Excludes1 note covering O03.89: “spontaneous abortion (O03.89)”

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

O03.89Complete or unspecified spontaneous abortion with other complicationsO22Venous complications and hemorrhoids in pregnancy
Billing statusBillableNon-billable header

Report instead: O22.00, O22.01, O22.02, O22.03, O22.10

ClassificationO00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)
DefinitionComplete or unspecified spontaneous abortion with other complications is a billable ICD-10-CM diagnosis code (O03.89).Venous complications and hemorrhoids in pregnancy is a non-billable ICD-10-CM category code (O22).
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