Is O08.0 a billable ICD-10-CM code?

Yes. O08.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does O08.0 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 O08.0?

O08.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

O08.0

O08.0 — Genital tract and pelvic infection following ectopic and molar pregnancy

Billable / specific codeICD-10-CM

O08.0 is a billable, specific ICD-10-CM code for genital tract and pelvic infection following ectopic and molar 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.

sepsis following ectopic and molar pregnancy (O08.82)
urinary tract infection (O08.83)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Endometritis following ectopic and molar pregnancy
Oophoritis following ectopic and molar pregnancy
Parametritis following ectopic and molar pregnancy
Pelvic peritonitis following ectopic and molar pregnancy
Salpingitis following ectopic and molar pregnancy
Salpingo-oophoritis following ectopic and molar pregnancy

Other codes that can never be billed with O08.0

These codes carry an Excludes1 note pointing at O08.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O08.0 alone.

K65Peritonitis

Risk adjustment

O08.0 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.

Medicare coverage

O08.0 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56421Billing and Coding: CT of the Abdomen and Pelvis

How O08.0 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 O08.0.

Deciduitis›following ectopic or molar pregnancy
Endometritis›with ectopic pregnancy
Lymphadenitis›following ectopic or molar pregnancy
Lymphadenitis›with ectopic or molar pregnancy
Peritonitis›following ectopic or molar pregnancy
Salpingo-oophoritis›following ectopic or molar pregnancy
Tetanus, tetanic›following ectopic or molar pregnancy
Vaginitis›following ectopic or molar pregnancy
Vaginitis›with ectopic or molar pregnancy
Vulvitis›following ectopic or molar pregnancy
Vulvitis›with ectopic or molar pregnancy
Abscess›Bartholin's gland›following ectopic or molar pregnancy

Related codes at this level

Codes that share O08. If O08.0 is not quite right, the correct code is usually one of these.

Questions about O08.0

Is O08.0 a billable ICD-10-CM code?: Yes. O08.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does O08.0 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 O08.0?: O08.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.