O04.7

Clinical notes

Documentation support

General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.

• •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.

ICD-9-CM equivalent

Informational only — GEM mappings are approximate, not guaranteed one-to-one equivalents. Verify before use in billing.

• 63562Approximate match
• 63560Approximate match
• 63561Approximate match
• 63660Approximate match
• 63661Approximate match
• 63662Approximate match
• 63760Approximate match
• 63761Approximate match
• 63762Approximate match

Associated MS-DRGs

O04.7 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.

• DRG 760Menstrual and Other Female Reproductive System Disorders with CC/MCC
• DRG 761Menstrual and Other Female Reproductive System Disorders without CC/MCC
• DRG 770Abortion with D&C, Aspiration Curettage or Hysterotomy
• DRG 779Abortion without D&C