2022 ICD-10-CM Code O04.5
Genital tract and pelvic infection following (induced) termination of pregnancy

Version 2022
ICD-10:O04.5
Short Description:Genitl trct and pelvic infct fol (induced) term of pregnancy
Long Description:Genital tract and pelvic infection following (induced) termination of pregnancy
Status: Valid for Submission

Code Classification

  • Pregnancy, childbirth and the puerperium (O00–O99)
    • Pregnancy with abortive outcome (O00-O08)
      • Complications following induced termination of pregnancy (O04)

O04.5 is a billable diagnosis code used to specify a medical diagnosis of genital tract and pelvic infection following (induced) termination of pregnancy. The code O04.5 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.

The ICD-10-CM code O04.5 might also be used to specify conditions or terms like complete illegal termination of pregnancy with genital tract or pelvic infection, complete legal termination of pregnancy, complete legal termination of pregnancy with genital tract or pelvic infection, genital tract infection due to and following pregnancy with abortive outcome, illegal termination of pregnancy complicated by genital-pelvic infection , illegal termination of pregnancy with endometritis, etc.

The code O04.5 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.

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code O04.5:


Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

Entries in the Index to Diseases and Injuries with references to O04.5

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 O04.5 are found in the index:

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:

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

Convert O04.5 to ICD-9 Code

The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code O04.5 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.

Information for Patients


Abortion

An abortion is a procedure to end a pregnancy. It uses medicine or surgery to remove the embryo or fetus and placenta from the uterus. The procedure is done by a licensed health care professional.

The decision to end a pregnancy is very personal. If you are thinking of having an abortion, most health care providers advise counseling.


[Learn More in MedlinePlus]

Code History

  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)