2025 ICD-10-CM code O00
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Obstetrics - Pregnancy with abortive outcome XV: Pregnancy, childbirth and the puerperium Feed
Ectopic pregnancy, including ruptured ectopic pregnancy.Additional codes from category O08 may be used to specify associated complications.
Modifiers may be applicable depending on the circumstances of the procedure. Consult the most recent CPT and HCPCS modifier guidelines for relevant additions.
Medical necessity is established by the presence of an ectopic pregnancy posing a threat to the patient's health, requiring intervention such as surgery or medical management to prevent hemorrhage, infection, or other life-threatening complications.
Obstetrician-gynecologist, emergency medicine physician
- XV: Pregnancy, childbirth and the puerperium
- O00-O9A: Pregnancy, childbirth and the puerperium; O00-O08: Pregnancy with abortive outcome
In simple words: This code describes a pregnancy that occurs outside the uterus (womb), such as in a fallopian tube or the abdomen.It may include a pregnancy that has ruptured (broken open).
This code encompasses ectopic pregnancies, which are pregnancies occurring outside the uterine cavity. This includes, but is not limited to, pregnancies located in the fallopian tubes (tubal pregnancy), abdomen (abdominal pregnancy), or cervix.The code also includes cases of ruptured ectopic pregnancy.Additional codes from category O08 should be utilized to specify any associated complications, such as infection or hemorrhage.
Example 1: A 30-year-old female presents to the emergency department with severe lower abdominal pain and vaginal bleeding.A transvaginal ultrasound reveals a ruptured tubal pregnancy.Code O00.1 is used to specify the location. Code O08.x (depending on the specific complication) is also used. , A 25-year-old female undergoes laparoscopic surgery for an abdominal pregnancy. The pregnancy is removed. Code O00.0 is used. Code O08.x is added for any complications like infection., A 35-year-old female experiences heavy vaginal bleeding and lower abdominal pain.Pelvic examination reveals an ectopic pregnancy that has spontaneously aborted. Code O00 is used with additional codes from category O08 for any related complications.
Complete history and physical examination, including details of symptoms (e.g., abdominal pain, vaginal bleeding).Imaging studies such as transvaginal ultrasound or MRI.Operative reports if surgery was performed.Pathology reports if tissue was sent for analysis. Documentation of any associated complications (e.g., hemorrhage, infection).
** This code should only be used on the maternal record, not the newborn record.This code is for conditions related to or aggravated by pregnancy.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Obstetrics and Gynecology, Emergency Medicine
- Place of Service:Office, Hospital (Inpatient and Outpatient), Emergency Room, Ambulatory Surgical Center