2026 ICD-10-CM Diagnosis Code O04.7Embolism following (induced) termination of pregnancy

ICD-10-CM Codes›O00-O9A›O00-O08›induced

ICD-10-CM O04.7
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

O04.7 is a billable ICD-10-CM diagnosis code for embolism following (induced) termination of pregnancy. 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). In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Induced abortion and complications of termination of pregnancy.

Code Identity

ICD-10-CM Code
O04.7
Billable Status
Yes — Valid for Submission
Code Describes
Embolism following (induced) termination of pregnancy
Short Description
Embolism following (induced) termination of pregnancy
Same as the full description in the CMS dataset.
Parent Code
O04
Complications following (induced) termination of pregnancy

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO00-O08Pregnancy with abortive outcome
CategoryinducedComplications following termination of pregnancy (O04)
This CodeO04.7Embolism following (induced) termination of pregnancy

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O04.7.

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.

  • Amniotic fluid embolism
  • Embolism due to and following complete induced termination of pregnancy
  • Incomplete induced termination of pregnancy
  • Incomplete induced termination of pregnancy complicated by embolism
  • Induced termination of pregnancy complicated by air embolism
  • Induced termination of pregnancy complicated by amniotic fluid embolism
  • Induced termination of pregnancy complicated by blood-clot embolism
  • Induced termination of pregnancy complicated by embolism
  • Induced termination of pregnancy complicated by fat embolism
  • Induced termination of pregnancy complicated by pulmonary embolism
  • Induced termination of pregnancy complicated by septic embolism
  • Induced termination of pregnancy complicated by soap embolism
  • Obstetrical air embolism
  • Obstetrical blood clot embolism

Tabular List NotesGuidance

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

Inclusion Terms

  • Air embolism following (induced) termination of pregnancy
  • Amniotic fluid embolism following (induced) termination of pregnancy
  • Blood-clot embolism following (induced) termination of pregnancy
  • Embolism NOS following (induced) termination of pregnancy
  • Fat embolism following (induced) termination of pregnancy
  • Pulmonary embolism following (induced) termination of pregnancy
  • Pyemic embolism following (induced) termination of pregnancy
  • Septic or septicopyemic embolism following (induced) termination of pregnancy
  • Soap embolism following (induced) termination of pregnancy

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)
      • induced (encounter for)
        • complicated by
          • embolism (air) (amniotic fluid) (blood clot) (fat) (pulmonary) (septic) (soap)
    • Abortion(complete) (spontaneous)
      • induced (encounter for)
        • complicated by
          • venous complication NEC
            • embolism (air) (amniotic fluid) (blood clot) (fat) (pulmonary) (septic) (soap)

Clinical ClassificationClinical

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

CCSR PRG004
Induced abortion and complications of termination of pregnancy
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Abortion

An induced abortion is a procedure to end a pregnancy. It can be done two different ways:

Read the full article at MedlinePlus

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

Convert O04.7 to ICD-9-CMHistory

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

ICD-9-CM
635.62 Legal abort w embol-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 O04.7Overview

Is O04.7 (Complications following (induced) termination of pregnancy) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report embolism following (induced) termination of pregnancy on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Who can O04.7 be reported for?

The Medicare Code Editor checks embolism following (induced) termination of pregnancy 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 O04.7?

Under the General Equivalence Mappings, embolism following (induced) termination of pregnancy converts to ICD-9-CM 635.62 (legal abort w embol-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.