O00.11 ICD-10-CM Code: Tubal pregnancy with intrauterine pregnancy
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for O00.11 in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- ruptured ectopic pregnancy
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- continuing pregnancy in multiple gestation after abortion of one fetus or more (O31.1-, O31.3-) Compare O00.11 vs O31.1 →
Use Additional Code
Supplementary codes the tabular list directs you to add.
- Use additional code from category O08 to identify any associated complication
Change history
- FY2018 — 2017-10-01Became a non-billable headerfalseFY2018 changes
- FY2017 — 2016-10-01Added to the code setTubal pregnancy with intrauterine pregnancyFY2017 changes
Verify Before Coding
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Contextual Map
Every relationship of O00.11 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- O00-O9A — Chapter 15: Pregnancy, Childbirth and the Puerperium (O00-O9A) (O00-O9A) [Hierarchy]
- O00-O08 — Pregnancy with abortive outcome [Hierarchy]
Referenced by Excludes1 notes (23)
- G08 — Intracranial and intraspinal phlebitis and thrombophlebitis [Excludes1](via O00.-): “abortion, ectopic or molar pregnancy (O00-O07, O08.7)” · check together
- K65 — Peritonitis [Excludes1](via O00.-): “peritonitis with or following abortion or ectopic or molar pregnancy (O00-O07, O08.0)” · check together
- N70 — Salpingitis and oophoritis [Excludes1](via O00.-): “abortion or ectopic or molar pregnancy (O00-O07, O08.0)” · check together
- N70-N77 — Inflammatory diseases of female pelvic organs (N70-N77) [Excludes1](via O00.-): “abortion or ectopic or molar pregnancy (O00-O07, O08.0)” · check together
- N71 — Inflammatory disease of uterus, except cervix [Excludes1](via O00.-): “abortion or ectopic or molar pregnancy (O00-O07, O08.0)” · check together
- N72 — Inflammatory disease of cervix uteri [Excludes1](via O00.-): “abortion or ectopic or molar pregnancy (O00-O07, O08.0)” · check together
- N73 — Other female pelvic inflammatory diseases [Excludes1](via O00.-): “abortion or ectopic or molar pregnancy (O00-O07, O08.0)” · check together
- N74 — Female pelvic inflammatory disorders in diseases classified elsewhere [Excludes1](via O00.-): “abortion or ectopic or molar pregnancy (O00-O07, O08.0)” · check together
- and 15 more
Referenced by Excludes2 notes (28)
- D65 — Disseminated intravascular coagulation [defibrination syndrome] [Excludes2](via O00.-): “abortion or ectopic or molar pregnancy (O00-O07, O08.1)” · check together
- D68 — Other coagulation defects [Excludes2](via O00.-): “coagulation defects complicating abortion or ectopic or molar pregnancy (O00-O07, O08.1)” · check together
- I26 — Pulmonary embolism [Excludes2](via O00.-): “pulmonary embolism complicating abortion, ectopic or molar pregnancy (O00-O07, O08.2)” · check together
- K72 — Hepatic failure, not elsewhere classified [Excludes2](via O00.-): “hepatic failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.8)” · check together
- N17 — Acute kidney failure [Excludes2](via O00.-): “renal failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.4)” · check together
- N17-N19 — Acute kidney failure and chronic kidney disease (N17-N19) [Excludes2](via O00.-): “renal failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.4)” · check together
- N18 — Chronic kidney disease (CKD) [Excludes2](via O00.-): “renal failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.4)” · check together
- N19 — Unspecified kidney failure [Excludes2](via O00.-): “renal failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.4)” · check together
- and 20 more
Referenced by Code First instructions
- I47 — Paroxysmal tachycardia [Code First](via O00.-): “abortion or ectopic or molar pregnancy (O00-O07, O08.8)” · check together
- I49 — Other cardiac arrhythmias [Code First](via O00.-): “abortion or ectopic or molar pregnancy (O00-O07, O08.8)” · check together
- I50 — Heart failure [Code First](via O00.-): “heart failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.8)” · check together
- I74 — Arterial embolism and thrombosis [Code First](via O00.-): “embolism and thrombosis complicating abortion or ectopic or molar pregnancy (O00-O07, O08.2)” · check together
- I80 — Phlebitis and thrombophlebitis [Code First](via O00.-): “, if applicable: phlebitis and thrombophlebitis complicating abortion, ectopic or molar pregnancy (O00-O07, O08.7)” · check together
- I82 — Other venous embolism and thrombosis [Code First](via O00.-): “abortion, ectopic or molar pregnancy (O00-O07, O08.7)” · check together
Clinical classification (CCSR)
- PRG005 — Ectopic pregnancy and complications of ectopic pregnancy [CCSR]
Nearest codes (40)
- O00 — Ectopic pregnancy [Sibling]
- O00.0 — Abdominal pregnancy [Sibling]
- O00.00 — Abdominal pregnancy without intrauterine pregnancy [Sibling]
- O00.01 — Abdominal pregnancy with intrauterine pregnancy [Sibling]
- O00.1 — Tubal pregnancy [Sibling]
- O00.10 — Tubal pregnancy without intrauterine pregnancy [Sibling]
- O00.101 — Right tubal pregnancy without intrauterine pregnancy [Sibling]
- O00.102 — Left tubal pregnancy without intrauterine pregnancy [Sibling]
- and 32 more
Change history (2)
- FY2018 — Became a non-billable header [Change history]
- and 1 more
Referenced by Other Codes
Clinical classification (AHRQ CCSR):PRG005 — Ectopic pregnancy and complications of ectopic pregnancy (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Official ICD-10-CM tabular notes on other codes that name O00.11 or its code family.
23 Excludes1 notes across 7 chapters: G08 (via O00.-), K65 (via O00.-), N70 (via O00.-), N70-N77 (via O00.-), N71 (via O00.-), N72 (via O00.-), N73 (via O00.-), N74 (via O00.-), N75 (via O00.-), N76 (via O00.-) and 13 more.
28 Excludes2 notes across 5 chapters: D65 (via O00.-), D68 (via O00.-), I26 (via O00.-), K72 (via O00.-), N17 (via O00.-), N17-N19 (via O00.-), N18 (via O00.-), N19 (via O00.-), N30 (via O00.-), N30-N39 (via O00.-) and 18 more.
6 Code First instructions: I47 (via O00.-), I49 (via O00.-), I50 (via O00.-), I74 (via O00.-), I80 (via O00.-), I82 (via O00.-).
Frequently Asked Questions (FAQ) & Clinical Guidance
Can O00.11 be billed directly?
No. O00.11 (Tubal pregnancy with intrauterine pregnancy) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to O00.11 in its code family, with their registry titles.
- O00.1 — Tubal pregnancy
- O00.10 — Tubal pregnancy without intrauterine pregnancy
- O00.101 — Right tubal pregnancy without intrauterine pregnancy
- O00.102 — Left tubal pregnancy without intrauterine pregnancy
- O00.109 — Unspecified tubal pregnancy without intrauterine pregnancy
- O00.111 — Right tubal pregnancy with intrauterine pregnancy
- O00.112 — Left tubal pregnancy with intrauterine pregnancy
- O00.119 — Unspecified tubal pregnancy with intrauterine pregnancy
- O00.12 — Interstitial ectopic pregnancy without intrauterine pregnancy
- O00.121 — Right interstitial ectopic pregnancy without intrauterine pregnancy