ICD-10-CM Code O00.81

Valid for Submission

O00.81 is a billable code used to specify a medical diagnosis of other ectopic pregnancy with intrauterine pregnancy. The code is valid for the year 2020 for the submission of HIPAA-covered transactions.

The code O00.81 is applicable to female patients aged 12 through 55 years inclusive. It is clinically and virtually impossible to use this code on a non-female patient outside the stated age range.

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code O00.81 are found in the index:

• - Cornual gestation or pregnancy - O00.80
  • - with intrauterine pregnancy - O00.81

• - Pregnancy (single) (uterine) - See Also: Delivery and Puerperal;
  • - broad ligament - O00.80
    • - with intrauterine pregnancy - O00.81
  • - cervical - O00.80
    • - with intrauterine pregnancy - O00.81
  • - cornual - O00.80
    • - with intrauterine pregnancy - O00.81
  • - ectopic (ruptured) - O00.90
    • - cervical - O00.80
      • - with intrauterine pregnancy - O00.81
    • - cornual - O00.80
      • - with intrauterine pregnancy - O00.81
    • - intraligamentous - O00.80
      • - with intrauterine pregnancy - O00.81
    • - mural - O00.80
      • - with intrauterine pregnancy - O00.81
    • - specified site NEC - O00.80
      • - with intrauterine pregnancy - O00.81
  • - interstitial - O00.80
    • - with intrauterine pregnancy - O00.81
  • - intraligamentous - O00.80
    • - with intrauterine pregnancy - O00.81
  • - intramural - O00.80
    • - with intrauterine pregnancy - O00.81
  • - mesometric (mural) - O00.80
    • - with intrauterine pregnancy - O00.81
  • - mural - O00.80
    • - with intrauterine pregnancy - O00.81

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

• Maternity diagnoses - Maternity. Age range is 12–55 years inclusive (e.g., diabetes in pregnancy, antepartum pulmonary complication).
• Diagnoses for females only - Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, this code applies to FEMALES only .

Diagnostic Related Groups

The ICD-10 code O00.81 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2019 through 09/30/2020.

• 817 - OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH MCC
• 818 - OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH CC
• 819 - OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITHOUT CC/MCC

Replacement Code

O0081 replaces the following previously assigned ICD-10 code(s):

• O00.8 - Other ectopic pregnancy

Convert O00.81 to ICD-9

• 633.81 - Ectpc prg NEC w int preg

Code Classification

• Pregnancy, childbirth and the puerperium (O00–O99)
  • Pregnancy with abortive outcome (O00-O08)
    • Ectopic pregnancy (O00)

Code History

• FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
• FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
• FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Tools

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• Convert O00.81 to ICD-9