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O08.4

O08.4Renal failure following ectopic and molar pregnancy

Billable / specific codeICD-10-CM

O08.4 is a billable, specific ICD-10-CM code for renal failure following ectopic and molar pregnancy. It is valid for submission on a claim.

Inclusion terms

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

  • 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

Other codes that can never be billed with O08.4

These codes carry an Excludes1 note pointing at O08.4. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O08.4 alone.

  • R34Anuria and oliguria

Risk adjustment

O08.4 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

O08.4 is named in 2 Medicare coverage policies 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A55336Billing and Coding: Retroperitoneal Ultrasound
  • A57189Billing and Coding: Serum Magnesium

How O08.4 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 O08.4.

  • Oliguriawith, complicating or following ectopic or molar pregnancy
  • Uremia, uremicfollowing ectopic or molar pregnancy
  • Anuriafollowingectopic or molar pregnancy
  • Complicationectopic pregnancyrenal failure
  • Complicationmolar pregnancy NOSrenal failure
  • Uremia, uremiccomplicatingectopic or molar pregnancy
  • Uremia, uremicwithectopic or molar pregnancy
  • Failure, failedrenalfollowingectopic or molar pregnancy
  • Necrosis, necrotickidneycorticalwith ectopic or molar pregnancy
  • Necrosis, necrotickidneytubularfollowing ectopic or molar pregnancy
  • Necrosis, necrotickidneytubularwith ectopic or molar pregnancy
  • Pregnancyectopiccomplicatedoliguria

Related codes at this level

Codes that share O08. If O08.4 is not quite right, the correct code is usually one of these.

Questions about O08.4

Is O08.4 a billable ICD-10-CM code?
Yes. O08.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does O08.4 sit in the tabular list?
Pregnancy, childbirth and the puerperium (O00-O9A), in the block Pregnancy with abortive outcome (O00-O08).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.