2026 ICD-10-CM Diagnosis Code O03.81Shock following complete or unspecified spontaneous abortion

ICD-10-CM Codes›O00-O9A›O00-O08›O03

ICD-10-CM O03.81
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

O03.81 is a billable ICD-10-CM diagnosis code for shock following complete or unspecified spontaneous abortion. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is restricted by the Medicare Code Editor to maternity cases (age 9 through 64). Coders also document this condition as complete miscarriage. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Shock and Spontaneous abortion and complications of spontaneous abortion.

Code Identity

ICD-10-CM Code
O03.81
Billable Status
Yes — Valid for Submission
Code Describes
Shock following complete or unspecified spontaneous abortion
Short Description
Shock following complete or unspecified spontaneous abortion
Same as the full description in the CMS dataset.
Parent Code
O03.8
Other and unspecified complications following complete or unspecified spontaneous abortion

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO00-O08Pregnancy with abortive outcome
CategoryO03Spontaneous abortion
This CodeO03.81Shock following complete or unspecified spontaneous abortion

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O03.81.

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.

  • Complete miscarriage
  • Complete miscarriage with shock
  • Miscarriage complicated by shock
  • Miscarriage with postoperative shock
  • Postoperative shock

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Circulatory collapse following complete or unspecified spontaneous abortion
  • Shock (postprocedural) following complete or unspecified spontaneous abortion

Type 1 Excludes

  • shock due to infection following complete or unspecified spontaneous abortion O03.87

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Abortion(complete) (spontaneous)
      • complicated (by) (following)
        • circulatory collapse
    • Abortion(complete) (spontaneous)
      • complicated (by) (following)
        • shock

Clinical ClassificationClinical

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

CCSR SYM003
Shock
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

  • Postoperative Shock

    a state of shock following a surgical operation.

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 O03.81 to ICD-9-CMHistory

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

ICD-9-CM
634.50 Spon abort w shock-unsp
Approximate The match is approximate rather than exact.
ICD-9-CM
634.52 Spon abort w shock-comp
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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About O03.81Overview

Is O03.81 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report shock following complete or unspecified spontaneous abortion on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Who can O03.81 be reported for?

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

What is the ICD-9 equivalent of O03.81?

Under the General Equivalence Mappings, shock following complete or unspecified spontaneous abortion converts to ICD-9-CM 634.50 (spon abort w shock-unsp) and 634.52 (spon abort w shock-comp). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.