O08.3 vs R55
O08.3 (Shock following ectopic and molar pregnancy) compared with R55 (Syncope and collapse), 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. R55 carries an Excludes1 note covering O08.3: “shock complicating or following abortion or ectopic or molar pregnancy (O00-O07, O08.3)”
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
| O08.3Shock following ectopic and molar pregnancy | R55Syncope and collapse | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A) | R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) |
| Definition | Shock following ectopic and molar pregnancy is a billable ICD-10-CM diagnosis code (O08.3). | Syncope and collapse is a billable ICD-10-CM diagnosis code (R55). |
| Includes | Circulatory collapse following ectopic and molar pregnancy Shock (postprocedural) following ectopic and molar pregnancy | Blackout Fainting Vasovagal attack |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources