2026 ICD-10-CM Diagnosis Code O04.89(Induced) termination of pregnancy with other complications

ICD-10-CM CodesO00-O9AO00-O08induced

ICD-10-CM O04.89
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

O04.89 is a billable ICD-10-CM diagnosis code for (induced) termination of pregnancy with other complications. 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
O04.89
Billable Status
Yes — Valid for Submission
Code Describes
(Induced) termination of pregnancy with other complications
Short Description
(Induced) termination of pregnancy with other complications
Same as the full description in the CMS dataset.
Parent Code
(Induced) termination of pregnancy with other and unspecified complications

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO00-O08Pregnancy with abortive outcome
CategoryinducedComplications following termination of pregnancy (O04)
This CodeO04.89(Induced) termination of pregnancy with other complications

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O04.89.

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.

  • Acute necrosis of liver
  • Anoxia of brain
  • Incomplete induced termination of pregnancy
  • Induced termination of pregnancy complicated by acute necrosis of liver
  • Induced termination of pregnancy complicated by cardiac failure
  • Induced termination of pregnancy complicated by cerebral anoxia
  • Induced termination of pregnancy complicated by pelvic disorder
  • Oxygen supply absent
  • Reproductive system complication of procedure
  • Retained products of conception following induced termination of pregnancy
  • Vesicovaginal fistula
  • Vesicovaginal fistula with involvement of urinary continence mechanism following termination of pregnancy procedure

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
          • specified condition NEC

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

Clinical InformationClinical

  • Vesicovaginal Fistula

    an abnormal anatomical passage between the urinary bladder and the vagina.
  • Vesicovaginal Fistula

    abnormal connection between vagina and bladder.

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 O04.89 to ICD-9-CMHistory

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

ICD-9-CM
635.72 Leg ab w compl NEC-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 O04.89Overview

Is O04.89 a billable code?

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

Who can O04.89 be reported for?

The Medicare Code Editor checks (induced) termination of pregnancy with other complications 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 O04.89?

Under the General Equivalence Mappings, (induced) termination of pregnancy with other complications converts to ICD-9-CM 635.72 (leg ab w compl NEC-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.