ICD-10-CM Code O04.85

Valid for Submission

O04.85 is a billable code used to specify a medical diagnosis of other venous complications following (induced) termination of pregnancy. The code is valid for the year 2020 for the submission of HIPAA-covered transactions.

The code O04.85 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 O04.85 are found in the index:

• - Abortion (complete) (spontaneous) - O03.9
  • - induced (encounter for) - Z33.2
    • - complicated by - O04.80
      • - venous complication NEC - O04.85

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 .

Convert O04.85 to ICD-9

• 635.72 - Leg ab w compl NEC-comp (Approximate Flag)

Code Classification

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

Code History

• FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
  (First year ICD-10-CM implemented into the HIPAA code set)
• FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
• 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 O04.85 to ICD-9