Question 1

Is O04.87 a billable ICD-10 code?

Accepted Answer

Yes, O04.87 is a valid billable ICD-10-CM code for sepsis following (induced) termination of pregnancy. It can be used for medical billing and reimbursement purposes.

Question 2

What does ICD-10 code O04.87 mean?

Accepted Answer

ICD-10-CM code O04.87 represents Sepsis following (induced) termination of pregnancy. This code is part of the International Classification of Diseases, 10th Revision, Clinical Modification used for medical coding and billing in the United States.

Question 3

When was ICD-10 code O04.87 introduced?

Accepted Answer

Code O04.87 has been part of ICD-10-CM since 2016, when the coding system was mandated for use in the United States. This code was included in the original US implementation.

Question 4

What is the parent category for ICD-10 code O04.87?

Accepted Answer

The parent category for O04.87 is O04.8 ((Induced) termination of pregnancy with other and unspecified complications). This hierarchical classification helps organize related diagnoses for more accurate coding.

Question 5

What conditions are excluded from O04.87?

Accepted Answer

Code O04.87 has Type 1 Excludes (mutually exclusive conditions) including: septic or septicopyemic embolism following (induced) termination of pregnancy (O04.7). These conditions cannot be coded together with O04.87 as they represent different diagnoses.

Question 6

Should I use additional codes with O04.87?

Accepted Answer

Yes, when coding O04.87, consider adding codes for: code to identify infectious agent (B95-B97); code to identify severe sepsis, if applicable (R65.2-). Additional codes provide more specificity about the patient's condition.

Question 7

What age group is ICD-10 code O04.87 intended for?

Accepted Answer

Code O04.87 is intended for maternity patients (ages 9-64). Using this code for patients outside the childbearing age range may trigger an age conflict edit. This is a Medicare Code Editor (MCE) validation rule.

O04.872026

Excludes13Not coded together

Excludes26Not included here

Use Additional Code3Add code for detail

Notes6Additional information

Includes1Included conditions

Also Known As7Alternative terms

Medicare Code Editor Rules1CMS coding restrictions

Related Clinical Codes6Manifestation & etiology relationships

Excluded By2Codes that exclude this one