October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

O03 Spontaneous abortion

All 28 codes in the O03 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

28

Can lead a claim

28

Cannot lead a claim

0

What CMS assigns to O03

All 28 codes group to MMTA - Other. None of the 28 is assigned a comorbidity subgroup. Every code can lead a claim.

Every code in O03

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
O03.0Genital tract and pelvic infection following incomplete spontaneous abortionCMS: Genitl trct and pelvic infection fol incmpl spon abortionCan lead a claimANone
O03.1Delayed or excessive hemorrhage following incomplete spontaneous abortionCMS: Delayed or excessive hemor following incmpl spon abortionCan lead a claimANone
O03.2Embolism following incomplete spontaneous abortionCan lead a claimANone
O03.3 Other and unspecified complications following incomplete spontaneous abortion
O03.30Unspecified complication following incomplete spontaneous abortionCMS: Unsp complication following incomplete spontaneous abortionCan lead a claimANone
O03.31Shock following incomplete spontaneous abortionCan lead a claimANone
O03.32Renal failure following incomplete spontaneous abortionCan lead a claimANone
O03.33Metabolic disorder following incomplete spontaneous abortionCan lead a claimANone
O03.34Damage to pelvic organs following incomplete spontaneous abortionCMS: Damage to pelvic organs following incomplete spon abortionCan lead a claimANone
O03.35Other venous complications following incomplete spontaneous abortionCMS: Oth venous comp following incomplete spontaneous abortionCan lead a claimANone
O03.36Cardiac arrest following incomplete spontaneous abortionCan lead a claimANone
O03.37Sepsis following incomplete spontaneous abortionCan lead a claimANone
O03.38Urinary tract infection following incomplete spontaneous abortionCMS: Urinary tract infection following incomplete spon abortionCan lead a claimANone
O03.39Incomplete spontaneous abortion with other complicationsCan lead a claimANone
O03.4Incomplete spontaneous abortion without complicationCan lead a claimANone
O03.5Genital tract and pelvic infection following complete or unspecified spontaneous abortionCMS: Genitl trct and pelvic infct fol complete or unsp spon abortCan lead a claimANone
O03.6Delayed or excessive hemorrhage following complete or unspecified spontaneous abortionCMS: Delayed or excess hemor fol complete or unsp spon abortionCan lead a claimANone
O03.7Embolism following complete or unspecified spontaneous abortionCMS: Embolism following complete or unsp spontaneous abortionCan lead a claimANone
O03.8 Other and unspecified complications following complete or unspecified spontaneous abortion
O03.80Unspecified complication following complete or unspecified spontaneous abortionCMS: Unsp comp following complete or unsp spontaneous abortionCan lead a claimANone
O03.81Shock following complete or unspecified spontaneous abortionCan lead a claimANone
O03.82Renal failure following complete or unspecified spontaneous abortionCMS: Renal failure following complete or unsp spon abortionCan lead a claimANone
O03.83Metabolic disorder following complete or unspecified spontaneous abortionCMS: Metabolic disorder following complete or unsp spon abortionCan lead a claimANone
O03.84Damage to pelvic organs following complete or unspecified spontaneous abortionCMS: Damage to pelvic organs fol complete or unsp spon abortionCan lead a claimANone
O03.85Other venous complications following complete or unspecified spontaneous abortionCMS: Oth venous comp following complete or unsp spon abortionCan lead a claimANone
O03.86Cardiac arrest following complete or unspecified spontaneous abortionCMS: Cardiac arrest following complete or unsp spon abortionCan lead a claimANone
O03.87Sepsis following complete or unspecified spontaneous abortionCMS: Sepsis following complete or unsp spontaneous abortionCan lead a claimANone
O03.88Urinary tract infection following complete or unspecified spontaneous abortionCMS: Urinary tract infection fol complete or unsp spon abortionCan lead a claimANone
O03.89Complete or unspecified spontaneous abortion with other complicationsCMS: Complete or unsp spontaneous abortion with oth complicationsCan lead a claimANone
O03.9Complete or unspecified spontaneous abortion without complicationCMS: Complete or unsp spontaneous abortion without complicationCan lead a claimANone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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