O04.5
Billable codeGenital tract and pelvic infection following (induced) termination of pregnancy
The ICD-10 code for genital tract and pelvic infection following (induced) termination of pregnancy is O04.5.
Clinical notes
Excludes1 (not coded here)
An Excludes1 note is a pure exclusion: the excluded condition and this code should never be reported together, because the two conditions cannot occur at the same time (e.g. a congenital form vs. an acquired form of the same disease).
Also known as
Alternate wording, synonyms, or specific conditions that fall under this code, listed to help confirm you've picked the right one.
- Endometritis following (induced) termination of pregnancy
- Oophoritis following (induced) termination of pregnancy
- Parametritis following (induced) termination of pregnancy
- Pelvic peritonitis following (induced) termination of pregnancy
- Salpingitis following (induced) termination of pregnancy
- Salpingo-oophoritis following (induced) termination of pregnancy
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- O04.6Delayed or excessive hemorrhage following (induced) termination of pregnancy
- O04.7Embolism following (induced) termination of pregnancy
- O04.8(Induced) termination of pregnancy with other and unspecified complicationsnon-billable header
- O04.5Genital tract and pelvic infection following (induced) termination of pregnancy
ICD-9-CM equivalent
Informational only — GEM mappings are approximate, not guaranteed one-to-one equivalents. Verify before use in billing.
- 63502Approximate match
- 63500Approximate match
- 63501Approximate match
- 63600Approximate match
- 63601Approximate match
- 63602Approximate match
- 63700Approximate match
- 63701Approximate match
- 63702Approximate match
Associated MS-DRGs
O04.5 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.
Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.