2026 ICD-10-CM Diagnosis Code O08.4Renal failure following ectopic and molar pregnancy

ICD-10-CM Codes›O00-O9A›O00-O08›O08

ICD-10-CM O08.4
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

O08.4 is a billable ICD-10-CM diagnosis code for renal failure following ectopic and molar 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 Complications following ectopic and/or molar pregnancy.

Code Identity

ICD-10-CM Code
O08.4
Billable Status
Yes — Valid for Submission
Code Describes
Renal failure following ectopic and molar pregnancy
Short Description
Renal failure following ectopic and molar pregnancy
Same as the full description in the CMS dataset.
Parent Code
O08
Complications following ectopic and molar pregnancy

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO00-O08Pregnancy with abortive outcome
CategoryO08Complications following ectopic and molar pregnancy
This CodeO08.4Renal failure following ectopic and molar pregnancy

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O08.4.

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.

  • Acute renal failure following ectopic pregnancy
  • Acute renal failure following molar pregnancy
  • Oliguria
  • Oliguria following ectopic pregnancy
  • Oliguria following molar pregnancy
  • Renal failure after ectopic pregnancy
  • Renal failure following molar pregnancy
  • Renal tubular necrosis following ectopic pregnancy
  • Renal tubular necrosis following molar pregnancy
  • Uremia following ectopic pregnancy
  • Uremia following molar pregnancy

Tabular List NotesGuidance

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

Inclusion Terms

  • Kidney failure (acute) following ectopic and molar pregnancy
  • Oliguria following ectopic and molar pregnancy
  • Renal shutdown following ectopic and molar pregnancy
  • Renal tubular necrosis following ectopic and molar pregnancy
  • Uremia following ectopic and molar 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.

    • Anuria
      • following
        • ectopic or molar pregnancy
    • Complication(s) (from) (of)
      • ectopic pregnancy
        • renal failure
    • Complication(s) (from) (of)
      • molar pregnancy NOS
        • renal failure
    • Failure, failed
      • renal
        • following
          • ectopic or molar pregnancy
    • Necrosis, necrotic(ischemic)
      • kidney (bilateral)
        • cortical (acute) (bilateral)
          • with ectopic or molar pregnancy
    • Necrosis, necrotic(ischemic)
      • kidney (bilateral)
        • tubular
          • with ectopic or molar pregnancy
    • Necrosis, necrotic(ischemic)
      • kidney (bilateral)
        • tubular
          • complicating
            • ectopic or molar pregnancy
    • Necrosis, necrotic(ischemic)
      • kidney (bilateral)
        • tubular
          • following ectopic or molar pregnancy
    • Oliguria
      • with, complicating or following ectopic or molar pregnancy
    • Pregnancy(single) (uterine)
      • ectopic (ruptured)
        • complicated (by)
          • oliguria
    • Pregnancy(single) (uterine)
      • ectopic (ruptured)
        • complicated (by)
          • renal failure or shutdown
    • Pregnancy(single) (uterine)
      • ectopic (ruptured)
        • complicated (by)
          • tubular necrosis (renal)
    • Pregnancy(single) (uterine)
      • ectopic (ruptured)
        • complicated (by)
          • uremia
    • Pregnancy(single) (uterine)
      • molar NEC
        • complicated (by)
          • oliguria
    • Pregnancy(single) (uterine)
      • molar NEC
        • complicated (by)
          • renal failure or shutdown
    • Pregnancy(single) (uterine)
      • molar NEC
        • complicated (by)
          • tubular necrosis (renal)
    • Pregnancy(single) (uterine)
      • molar NEC
        • complicated (by)
          • uremia
    • Uremia, uremic
      • with
        • ectopic or molar pregnancy
    • Uremia, uremic
      • complicating
        • ectopic or molar pregnancy
    • Uremia, uremic
      • following ectopic or molar pregnancy

Clinical ClassificationClinical

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

CCSR PRG007
Complications following ectopic and/or molar pregnancy
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Oliguria

    decreased urine output that is below the normal range. oliguria can be defined as urine output of less than or equal to 0.5 or 1 ml/kg/hr depending on the age.

  • Urine

    liquid by-product of excretion produced in the kidneys, temporarily stored in the bladder until discharge through the urethra.

Patient EducationClinical

Ectopic Pregnancy

The uterus, or womb, is the place where a fetus grows during pregnancy. In an ectopic pregnancy, the fertilized egg grows in the wrong place outside the uterus. It usually occurs in the fallopian tubes. These tubes carry eggs from the ovaries to the uterus.

The full article covers:

  • What is an ectopic pregnancy?
  • What increases my risk of an ectopic pregnancy?
  • What are the symptoms of an ectopic pregnancy?
  • How is an ectopic pregnancy diagnosed?
  • What is the treatment for an ectopic pregnancy?

Read the full article at MedlinePlus

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

Convert O08.4 to ICD-9-CMHistory

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

ICD-9-CM
639.3 Postabort kidney failure
Exact Match The mapping is direct, with no qualifiers.

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 O08.4Overview

Is O08.4 (Complications following ectopic and molar pregnancy) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report renal failure following ectopic and molar pregnancy on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Who can O08.4 be reported for?

The Medicare Code Editor checks renal failure following ectopic and molar 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 O08.4?

Under the General Equivalence Mappings, renal failure following ectopic and molar pregnancy converts to ICD-9-CM 639.3 (postabort kidney failure). The mapping is a direct match.

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.