2027 ICD-10-CM Diagnosis Code O00Ectopic pregnancy

ICD-10-CM Codes›O00-O9A›O00-O08›O00

ICD-10-CM O00
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

O00 is a non-billable ICD-10-CM category code for ectopic pregnancy, so it cannot be submitted on claims. Use a more specific code from this category instead, such as O00.00, O00.01, O00.101, and O00.102.

Code Identity

ICD-10-CM Code
O00
Billable Status
No — Non-Billable Category
Code Describes
Ectopic pregnancy
Short Description
Ectopic pregnancy
Same as the full description in the CMS dataset.
Chapter
O00-O08
Pregnancy with abortive outcome

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO00-O08Pregnancy with abortive outcome
CategoryO00Ectopic pregnancy
This CodeO00Ectopic pregnancy

Specific Coding for Ectopic pregnancyOverview

Non-specific codes like O00 require more characters. Use one of these billable codes instead:

  • O00.0 for Abdominal pregnancy

  • Use O00.00 for Abdominal pregnancy without intrauterine pregnancy

  • Use O00.01 for Abdominal pregnancy with intrauterine pregnancy

  • O00.1 for Tubal pregnancy

  • O00.10 for Tubal pregnancy without intrauterine pregnancy

  • O00.11 for Tubal pregnancy with intrauterine pregnancy

  • O00.12 for Interstitial ectopic pregnancy without intrauterine pregnancy

  • O00.13 for Interstitial ectopic pregnancy with intrauterine pregnancy

  • O00.2 for Ovarian pregnancy

  • O00.20 for Ovarian pregnancy without intrauterine pregnancy

  • O00.21 for Ovarian pregnancy with intrauterine pregnancy

  • O00.3 for Cesarean scar ectopic pregnancy

  • Use O00.31 for Cesarean scar ectopic pregnancy without intrauterine pregnancy

  • Use O00.32 for Cesarean scar ectopic pregnancy with intrauterine pregnancy

  • O00.4 for Cervical ectopic pregnancy

  • Use O00.41 for Cervical ectopic pregnancy without intrauterine pregnancy

  • Use O00.42 for Cervical ectopic pregnancy with intrauterine pregnancy

  • O00.5 for Cornual ectopic pregnancy

  • O00.51 for Cornual ectopic pregnancy without intrauterine pregnancy

  • O00.52 for Cornual ectopic pregnancy with intrauterine pregnancy

  • O00.8 for Other ectopic pregnancy

  • Use O00.80 for Other ectopic pregnancy without intrauterine pregnancy

  • Use O00.81 for Other ectopic pregnancy with intrauterine pregnancy

  • O00.9 for Ectopic pregnancy, unspecified

  • Use O00.90 for Unspecified ectopic pregnancy without intrauterine pregnancy

  • Use O00.91 for Unspecified ectopic pregnancy with intrauterine pregnancy

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to O00: its own notes plus those printed at block O00-O08 and Chapter 15. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

  • ruptured ectopic pregnancy

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From Block O00-O08 Pregnancy with abortive outcome applies to 110 codes
  • continuing pregnancy in multiple gestation after abortion of one fetus or more (O31.1-, O31.3-)
From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • supervision of normal pregnancy (Z34.-)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • mental and behavioral disorders associated with the puerperium (F53.-)
  • obstetrical tetanus (A34)
  • postpartum necrosis of pituitary gland (E23.0)
  • puerperal osteomalacia (M83.0)

Use Additional Code

Add a second code, after this one, to fully describe the condition.

On O00 itself
  • code from category O08 to identify any associated complication
From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.

Notes

General instructions on how these codes are used.

From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
  • Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
  • Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
  • 1st trimester- less than 14 weeks 0 days
  • 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
  • 3rd trimester- 28 weeks 0 days until delivery

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name O00, its category, or a range that includes it.

Applicable To 1

These notes mention O00.

  • O08 Complications following ectopic and molar pregnancy
    This category is for use with categories O00-O02 to identify any associated complications

Excludes1 11

These codes carry an Excludes1 note naming O00: they are not reported together with it, unless the two conditions are unrelated.

  • G08 Intracranial and intraspinal phlebitis and thrombophlebitis
    abortion, ectopic or molar pregnancy (O00-O07, O08.7)
  • K65 Peritonitis
    peritonitis with or following abortion or ectopic or molar pregnancy (O00-O07, O08.0)
  • Block N70-N77 Inflammatory diseases of female pelvic organs
    abortion or ectopic or molar pregnancy (O00-O07, O08.0)
  • R34 Anuria and oliguria
    anuria and oliguria complicating abortion or ectopic or molar pregnancy (O00-O07, O08.4)
  • R55 Syncope and collapse
    shock complicating or following abortion or ectopic or molar pregnancy (O00-O07, O08.3)
  • R57 Shock, not elsewhere classified
    shock complicating or following ectopic or molar pregnancy (O00-O07, O08.3)
  • T79.0 Air embolism (traumatic)
    air embolism complicating abortion or ectopic or molar pregnancy (O00-O07, O08.2)
  • T79.1 Fat embolism (traumatic)
    abortion or ectopic or molar pregnancy (O00-O07, O08.2)
  • T79.4 Traumatic shock
    shock complicating abortion or ectopic or molar pregnancy (O00-O07, O08.3)
  • T81.1 Postprocedural shock
    shock following abortion or ectopic or molar pregnancy (O00-O07, O08.3)
  • T81.7 Vascular complications following a procedure, not elsewhere classified
    embolism complicating abortion or ectopic or molar pregnancy (O00-O07, O08.2)

Excludes2 6

These codes carry an Excludes2 note naming O00: its condition is not part of those codes, and both may be reported when the patient has both.

  • D65 Disseminated intravascular coagulation [defibrination syndrome]
    abortion or ectopic or molar pregnancy (O00-O07, O08.1)
  • D68 Other coagulation defects
    coagulation defects complicating abortion or ectopic or molar pregnancy (O00-O07, O08.1)
  • I26 Pulmonary embolism
    pulmonary embolism complicating abortion, ectopic or molar pregnancy (O00-O07, O08.2)
  • K72 Hepatic failure, not elsewhere classified
    hepatic failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.8)
  • Block N17-N19 Acute kidney failure and chronic kidney disease
    renal failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.4)
  • Block N30-N39 Other diseases of the urinary system
    abortion or ectopic or molar pregnancy (O00-O07, O08.8)

Code First 6

These codes say to code first a condition named in the note, and O00 is one of the conditions named.

  • I47 Paroxysmal tachycardia
    abortion or ectopic or molar pregnancy (O00-O07, O08.8)
  • I49 Other cardiac arrhythmias
    abortion or ectopic or molar pregnancy (O00-O07, O08.8)
  • I50 Heart failure
    heart failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.8)
  • I74 Arterial embolism and thrombosis
    embolism and thrombosis complicating abortion or ectopic or molar pregnancy (O00-O07, O08.2)
  • I80 Phlebitis and thrombophlebitis
    if applicable: phlebitis and thrombophlebitis complicating abortion, ectopic or molar pregnancy (O00-O07, O08.7)
  • I82 Other venous embolism and thrombosis
    abortion, ectopic or molar pregnancy (O00-O07, O08.7)

Clinical InformationClinical

  • Pregnancy, Ectopic

    a potentially life-threatening condition in which embryo implantation occurs outside the cavity of the uterus. most ectopic pregnancies (>96%) occur in the fallopian tubes, known as tubal pregnancy. they can be in other locations, such as uterine cervix; ovary; and abdominal cavity (pregnancy, abdominal).

Patient EducationClinical

Ectopic Pregnancy

The uterus, or womb, is the place where a fetus grows during pregnancy. In an ectopic pregnancy, the fertilized egg grows in the wrong place outside the uterus. It usually occurs in the fallopian tubes. These tubes carry eggs from the ovaries to the uterus.

The full article covers:

  • What is an ectopic pregnancy?
  • What increases my risk of an ectopic pregnancy?
  • What are the symptoms of an ectopic pregnancy?
  • How is an ectopic pregnancy diagnosed?
  • What is the treatment for an ectopic pregnancy?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About O00Overview

What is the ICD-10 code for ectopic pregnancy?

O00 is the ICD-10-CM category for ectopic pregnancy, but it is a non-billable header: claims need a more specific code from this category, listed on this page.

Is O00 (Ectopic pregnancy) a billable code?

No. This is a category header that groups the codes for ectopic pregnancy, and headers cannot be submitted on claims. Claims for ectopic pregnancy need a more specific code from this category, such as O00.00, O00.01, and O00.101.

Can O00 be reported with a code from O31.1?

Not as a rule. The Excludes1 note at block O00-O08, which applies to O00, lists "continuing pregnancy in multiple gestation after abortion of one fetus or more (O31.1-, O31.3-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).

Does O00 need an additional code?

When the condition applies, yes. The Use Additional Code note reads: code from category O08 to identify any associated complication. The additional code is reported after O00.