2021 ICD-10-CM Code O04.5
Genital tract and pelvic infection following (induced) termination of pregnancy
Valid for Submission
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 2021 from October 01, 2020 through September 30, 2021 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.
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 |
Code Classification
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 guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code O04.5:
Inclusion Terms
Inclusion TermsThese 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.
- Endometritis following (induced) termination of pregnancy
- Oophoritis following (induced) termination of pregnancy
- Parametritis following (induced) termination of pregnancy
- Pelvic peritonitis following (induced) termination of pregnancy
- Salpingitis following (induced) termination of pregnancy
- Salpingo-oophoritis following (induced) termination of pregnancy
Type 1 Excludes
Type 1 ExcludesA 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.
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 O04.5 are found in the index:
- - Abortion (complete) (spontaneous) - O03.9
- - induced (encounter for) - Z33.2
- - complicated by - O04.80
- - endometritis - O04.5
- - genital tract and pelvic infection - O04.5
- - infection
- - genital tract or pelvic - O04.5
- - oophoritis - O04.5
- - parametritis - O04.5
- - pelvic peritonitis - O04.5
- - salpingitis or salpingo-oophoritis - O04.5
- - complicated by - O04.80
- - induced (encounter for) - Z33.2
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 - 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).
- Diagnoses for females only - The Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, these edits apply to FEMALES only .
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- 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
- Illegal termination of pregnancy with parametritis
- Illegal termination of pregnancy with pelvic peritonitis
- Illegal termination of pregnancy with salpingitis
- Illegal termination of pregnancy with salpingo-oophoritis
- Induced termination of pregnancy complicated by endometritis
- Induced termination of pregnancy complicated by genital-pelvic infection
- Induced termination of pregnancy complicated by parametritis
- Induced termination of pregnancy complicated by pelvic peritonitis
- Induced termination of pregnancy complicated by salpingitis
- Induced termination of pregnancy complicated by salpingo-oophoritis
- Legal termination of pregnancy complicated by genital-pelvic infection
- Legal termination of pregnancy with endometritis
- Legal termination of pregnancy with parametritis
- Legal termination of pregnancy with pelvic peritonitis
- Legal termination of pregnancy with salpingitis
- Legal termination of pregnancy with salpingo-oophoritis
- Parametritis
- Pelvic infection due to and following pregnancy with abortive outcome
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.
- 635.02 - Leg abor w pelv inf-comp (Approximate Flag)
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.
- Abortion - medical (Medical Encyclopedia)
- Abortion - surgical (Medical Encyclopedia)
- Abortion - surgical - aftercare (Medical Encyclopedia)
- Ending pregnancy with medications (Medical Encyclopedia)
[Learn More]
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)