2027 ICD-10-CM Diagnosis Code O03.37Sepsis following incomplete spontaneous abortion

ICD-10-CM Codes›O00-O9A›O00-O08›O03

ICD-10-CM O03.37
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

O03.37 is a billable ICD-10-CM diagnosis code for sepsis following incomplete spontaneous abortion. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 770, 779. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 311 closely related codes. The code is restricted by the Medicare Code Editor to maternity cases (age 9 through 64). Coders also document this condition as sepsis due to incomplete miscarriage. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Septicemia and Spontaneous abortion and complications of spontaneous abortion.

Code Identity

ICD-10-CM Code
O03.37
Billable Status
Yes — Valid for Submission
Code Describes
Sepsis following incomplete spontaneous abortion
Short Description
Sepsis following incomplete spontaneous abortion
Same as the full description in the CMS dataset.
Parent Code
O03.3
Other and unspecified complications following incomplete spontaneous abortion

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO00-O08Pregnancy with abortive outcome
CategoryO03Spontaneous abortion
This CodeO03.37Sepsis following incomplete spontaneous abortion

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O03.37.

Maternity diagnoses
The Medicare Code Editor detects inconsistencies in maternity cases by checking a patient's age and any diagnosis on the patient's record. The maternity code edits apply to patients age ange is 9–64 years inclusive (e.g., diabetes in pregnancy, antepartum pulmonary complication).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Sepsis due to incomplete miscarriage

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to O03.37: its own notes plus those printed at O03, 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.

From O03 Spontaneous abortion applies to 28 codes
  • miscarriage

Excludes1

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

On O03.37 itself
  • septic or septicopyemic embolism following incomplete spontaneous abortion (O03.2)
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 O03.37 itself
  • code to identify infectious agent (B95-B97)
  • code to identify severe sepsis, if applicable (R65.2-)
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 O03 Spontaneous abortion applies to 28 codes
  • Incomplete abortion includes retained products of conception following spontaneous abortion
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 O03.37, its category, or a range that includes it.

Excludes1 14

These codes carry an Excludes1 note naming O03.37: they are not reported together with it, unless the two conditions are unrelated.

  • O03.0 Genital tract and pelvic infection following incomplete spontaneous abortion
    sepsis following incomplete spontaneous abortion (O03.37)
  • O03.31 Shock following incomplete spontaneous abortion
    shock due to infection following incomplete spontaneous abortion (O03.37)
  • Z33.2 Encounter for elective termination of pregnancy
    spontaneous abortion (O03) names O03, which includes this code
  • G08 Intracranial and intraspinal phlebitis and thrombophlebitis
    abortion, ectopic or molar pregnancy (O00-O07, O08.7) names O00-O07, which includes this code
  • K65 Peritonitis
    peritonitis with or following abortion or ectopic or molar pregnancy (O00-O07, O08.0) names O00-O07, which includes this code
  • Block N70-N77 Inflammatory diseases of female pelvic organs
    abortion or ectopic or molar pregnancy (O00-O07, O08.0) names O00-O07, which includes this code
  • R34 Anuria and oliguria
    anuria and oliguria complicating abortion or ectopic or molar pregnancy (O00-O07, O08.4) names O00-O07, which includes this code
  • R55 Syncope and collapse
    shock complicating or following abortion or ectopic or molar pregnancy (O00-O07, O08.3) names O00-O07, which includes this code
  • R57 Shock, not elsewhere classified
    shock complicating or following ectopic or molar pregnancy (O00-O07, O08.3) names O00-O07, which includes this code
  • T79.0 Air embolism (traumatic)
    air embolism complicating abortion or ectopic or molar pregnancy (O00-O07, O08.2) names O00-O07, which includes this code
  • T79.1 Fat embolism (traumatic)
    abortion or ectopic or molar pregnancy (O00-O07, O08.2) names O00-O07, which includes this code
  • T79.4 Traumatic shock
    shock complicating abortion or ectopic or molar pregnancy (O00-O07, O08.3) names O00-O07, which includes this code
  • T81.1 Postprocedural shock
    shock following abortion or ectopic or molar pregnancy (O00-O07, O08.3) names O00-O07, which includes this code
  • T81.7 Vascular complications following a procedure, not elsewhere classified
    embolism complicating abortion or ectopic or molar pregnancy (O00-O07, O08.2) names O00-O07, which includes this code

Excludes2 6

These codes carry an Excludes2 note naming O03.37: 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) names O00-O07, which includes this code
  • D68 Other coagulation defects
    coagulation defects complicating abortion or ectopic or molar pregnancy (O00-O07, O08.1) names O00-O07, which includes this code
  • I26 Pulmonary embolism
    pulmonary embolism complicating abortion, ectopic or molar pregnancy (O00-O07, O08.2) names O00-O07, which includes this code
  • K72 Hepatic failure, not elsewhere classified
    hepatic failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.8) names O00-O07, which includes this code
  • Block N17-N19 Acute kidney failure and chronic kidney disease
    renal failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.4) names O00-O07, which includes this code
  • Block N30-N39 Other diseases of the urinary system
    abortion or ectopic or molar pregnancy (O00-O07, O08.8) names O00-O07, which includes this code

Code First 9

These codes say to code first a condition named in the note, and O03.37 is one of the conditions named.

  • A40 Streptococcal sepsis
    streptococcal sepsis following abortion or ectopic or molar pregnancy (O03.37, O03.87, O04.87, O07.37, O08.82)
  • A41 Other sepsis
    sepsis following abortion, ectopic or molar pregnancy (O03.37, O03.87, O04.87, O07.37, O08.82)
  • R65.2 Severe sepsis
    sepsis following incomplete spontaneous abortion (O03.37)
  • I47 Paroxysmal tachycardia
    abortion or ectopic or molar pregnancy (O00-O07, O08.8) names O00-O07, which includes this code
  • I49 Other cardiac arrhythmias
    abortion or ectopic or molar pregnancy (O00-O07, O08.8) names O00-O07, which includes this code
  • I50 Heart failure
    heart failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.8) names O00-O07, which includes this code
  • I74 Arterial embolism and thrombosis
    embolism and thrombosis complicating abortion or ectopic or molar pregnancy (O00-O07, O08.2) names O00-O07, which includes this code
  • I80 Phlebitis and thrombophlebitis
    if applicable: phlebitis and thrombophlebitis complicating abortion, ectopic or molar pregnancy (O00-O07, O08.7) names O00-O07, which includes this code
  • I82 Other venous embolism and thrombosis
    abortion, ectopic or molar pregnancy (O00-O07, O08.7) names O00-O07, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INF002
Septicemia
Default principal diagnosis: inpatient No · outpatient No
CCSR PRG003
Spontaneous abortion and complications of spontaneous abortion
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Abortion, Spontaneous

    expulsion of the product of fertilization before completing the term of gestation and without deliberate interference.

Patient EducationClinical

Miscarriage

A miscarriage is an unexpected loss of pregnancy before the 20th week. Most miscarriages happen very early in the pregnancy, often before a woman even knows she is pregnant.

The full article covers:

  • What is a miscarriage?
  • What causes a miscarriage?
  • What are the signs of a miscarriage?
  • How is a miscarriage diagnosed?
  • What is the treatment for a miscarriage?
  • Can a miscarriage be prevented?

Read the full article at MedlinePlus

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

Convert O03.37 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
634.01 Spon abor w pelv inf-inc
Approximate The match is approximate rather than exact.

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 O03.37Overview

What is the ICD-10 code for sepsis following incomplete spontaneous abortion?

The ICD-10-CM code for sepsis following incomplete spontaneous abortion is O03.37 (sometimes written as O0337). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is O03.37 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report sepsis following incomplete spontaneous abortion on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does O03.37 group to?

When sepsis following incomplete spontaneous abortion is the principal diagnosis on an inpatient stay, it groups to MS-DRG 779, 770, with relative weights from 1.0198 to 1.0987 depending on complications. Higher weights mean higher Medicare reimbursement.

Is O03.37 a CC or MCC?

CMS lists O03.37 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 311 closely related codes in its exclusion list.

Who can O03.37 be reported for?

The Medicare Code Editor checks sepsis following incomplete spontaneous abortion against patient demographics: this code is intended for maternity cases (age 9 through 64). Claims outside these limits are flagged as inconsistent.