2026 ICD-10-CM Diagnosis Code O04.87Sepsis following (induced) termination of pregnancy
ICD-10-CM Codes›O00-O9A›O00-O08›induced
- Billable — Valid for Submission
- Not Chronic
O04.87 is a billable ICD-10-CM diagnosis code for sepsis 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). Coders also document this condition as induced termination of pregnancy complicated by infectious disease. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Induced abortion and complications of termination of pregnancy and Septicemia.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for O04.87.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Induced termination of pregnancy complicated by infectious disease
- Induced termination of pregnancy complicated by postoperative shock
- Induced termination of pregnancy complicated by septic shock
- Induced termination of pregnancy complicated by shock
- Induced termination of pregnancy complicated by tetanus
- Sepsis following induced termination of pregnancy
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Use Additional Code
Type 1 Excludes
- septic or septicopyemic embolism following induced termination of pregnancy O04.7
The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
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.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Abortion (complete) (spontaneous) - O03.9
- induced (encounter for) - Z33.2
- complicated by - O04.80
- sepsis - O04.87
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Abortion(complete) (spontaneous)
- induced (encounter for)
- complicated by
- sepsis
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
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 O04.87 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About O04.87Overview
Is O04.87 a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report sepsis following (induced) termination of pregnancy on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
Who can O04.87 be reported for?
The Medicare Code Editor checks sepsis 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 O04.87?
Under the General Equivalence Mappings, sepsis following (induced) termination of pregnancy converts to ICD-9-CM 635.02 (leg abor w pelv inf-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.
