Is O04.87 a billable ICD-10-CM code?

Yes. O04.87 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does O04.87 sit in the tabular list?

Pregnancy, childbirth and the puerperium (O00-O9A), in the block Pregnancy with abortive outcome (O00-O08).

What cannot be coded together with O04.87?

O04.87 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

O04.87

O04.87 — Sepsis following (induced) termination of pregnancy

Billable / specific codeICD-10-CM

O04.87 is a billable, specific ICD-10-CM code for sepsis following (induced) termination of pregnancy. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

septic or septicopyemic embolism following (induced) termination of pregnancy (O04.7)

Use additional code

Add a secondary code to capture the detail described below.

code to identify infectious agent (B95-B97)
code to identify severe sepsis, if applicable (R65.2-)

Other codes that can never be billed with O04.87

These codes carry an Excludes1 note pointing at O04.87. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O04.87 alone.

O04.5Genital tract and pelvic infection following (induced) termination of pregnancy
O04.81Shock following (induced) termination of pregnancy

Risk adjustment

O04.87 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

How O04.87 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to O04.87.

Abortion›induced›complicated by›sepsis

Related codes at this level

Codes that share O04.8. If O04.87 is not quite right, the correct code is usually one of these.

Questions about O04.87

Is O04.87 a billable ICD-10-CM code?: Yes. O04.87 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does O04.87 sit in the tabular list?: Pregnancy, childbirth and the puerperium (O00-O9A), in the block Pregnancy with abortive outcome (O00-O08).
What cannot be coded together with O04.87?: O04.87 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.