O31.1 ICD-10-CM Code: Continuing pregnancy after spontaneous abortion of one fetus or more
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 O31.1 in the official ICD-10-CM tabular list.
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- delayed delivery of second twin, triplet, etc. (O63.2) Compare O31.1 vs O63.2 →
- malpresentation of one fetus or more (O32.9) Compare O31.1 vs O32.9 →
- placental transfusion syndromes (O43.0-) Compare O31.1 vs O43.0 →
Frequently Compared Codes
The official Excludes notes on O31.1 name these codes. Each comparison page covers when the two can — or must not — be reported together.
Change history
No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.
Verify Before Coding
- Not billable as written — a more specific code is required.
- Requires a 7th character. "One of the following 7th characters is to be assigned to each code under category O31. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from category O31 that has a 7th character of 1 through 9." Options: O31.10X0, O31.10X1, O31.10X2, O31.10X3, O31.10X4, O31.10X5
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Relationships & Classification
Other codes that name O31.1 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
8 Excludes1 notes: O00, O00-O08, O01, O02, O03, O04, O07, O08.
Contextual Map
Every relationship of O31.1 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]
- O30-O48 — Maternal care related to the fetus and amniotic cavity and possible delivery problems [Hierarchy]
- O31 — Clinical Diagnosis [Hierarchy]
Referenced by Excludes1 notes
- O00 — Ectopic pregnancy [Excludes1]: “continuing pregnancy in multiple gestation after abortion of one fetus or more (O31.1-, O31.3-)” · check together
- O00-O08 — Pregnancy with abortive outcome (O00-O08) [Excludes1]: “continuing pregnancy in multiple gestation after abortion of one fetus or more (O31.1-, O31.3-)” · check together
- O01 — Hydatidiform mole [Excludes1]: “continuing pregnancy in multiple gestation after abortion of one fetus or more (O31.1-, O31.3-)” · check together
- O02 — Other abnormal products of conception [Excludes1]: “continuing pregnancy in multiple gestation after abortion of one fetus or more (O31.1-, O31.3-)” · check together
- O03 — Spontaneous abortion [Excludes1]: “continuing pregnancy in multiple gestation after abortion of one fetus or more (O31.1-, O31.3-)” · check together
- O04 — Complications following (induced) termination of pregnancy [Excludes1]: “continuing pregnancy in multiple gestation after abortion of one fetus or more (O31.1-, O31.3-)” · check together
- O07 — Failed attempted termination of pregnancy [Excludes1]: “continuing pregnancy in multiple gestation after abortion of one fetus or more (O31.1-, O31.3-)” · check together
- O08 — Complications following ectopic and molar pregnancy [Excludes1]: “continuing pregnancy in multiple gestation after abortion of one fetus or more (O31.1-, O31.3-)” · check together
Nearest codes (40)
- O31 — Complications specific to multiple gestation [Sibling]
- O31.01X3 — Papyraceous fetus, first trimester, fetus 3 [Sibling]
- O31.01X4 — Papyraceous fetus, first trimester, fetus 4 [Sibling]
- O31.01X5 — Papyraceous fetus, first trimester, fetus 5 [Sibling]
- O31.01X9 — Papyraceous fetus, first trimester, other fetus [Sibling]
- O31.02 — Papyraceous fetus, second trimester [Sibling]
- O31.02X0 — Papyraceous fetus, second trimester, not applicable or unspecified [Sibling]
- O31.02X1 — Papyraceous fetus, second trimester, fetus 1 [Sibling]
- and 32 more
Frequently Asked Questions (FAQ) & Clinical Guidance
Can O31.1 be billed directly?
No. O31.1 (Continuing pregnancy after spontaneous abortion of one fetus or more) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Does O31.1 require a 7th character?
Yes. One of the following 7th characters is to be assigned to each code under category O31. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from category O31 that has a 7th character of 1 through 9..
Nearest Codes in This Family
Official ICD-10-CM classifications closest to O31.1 in its code family, with their registry titles.
- O31.03X2 — Papyraceous fetus, third trimester, fetus 2
- O31.03X3 — Papyraceous fetus, third trimester, fetus 3
- O31.03X4 — Papyraceous fetus, third trimester, fetus 4
- O31.03X5 — Papyraceous fetus, third trimester, fetus 5
- O31.03X9 — Papyraceous fetus, third trimester, other fetus
- O31.10 — Continuing pregnancy after spontaneous abortion of one fetus or more, unspecified trimester
- O31.10X0 — Continuing pregnancy after spontaneous abortion of one fetus or more, unspecified trimester, not applicable or unspecified
- O31.10X1 — Continuing pregnancy after spontaneous abortion of one fetus or more, unspecified trimester, fetus 1
- O31.10X2 — Continuing pregnancy after spontaneous abortion of one fetus or more, unspecified trimester, fetus 2
- O31.10X3 — Continuing pregnancy after spontaneous abortion of one fetus or more, unspecified trimester, fetus 3