ICD-10 · PDGM grouping
O04 Complications following (induced) termination of pregnancy
All 13 codes in the O04 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.
Codes in family
13
Can lead a claim
13
Cannot lead a claim
0
What CMS assigns to O04
All 13 codes group to MMTA - Other. None of the 13 is assigned a comorbidity subgroup. Every code can lead a claim.
Every code in O04
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| O04.5 | Genital tract and pelvic infection following (induced) termination of pregnancyCMS: Genitl trct and pelvic infct fol (induced) term of pregnancy | Can lead a claim | A | None |
| O04.6 | Delayed or excessive hemorrhage following (induced) termination of pregnancyCMS: Delayed or excess hemor fol (induced) term of pregnancy | Can lead a claim | A | None |
| O04.7 | Embolism following (induced) termination of pregnancy | Can lead a claim | A | None |
| O04.8 (Induced) termination of pregnancy with other and unspecified complications | ||||
| O04.80 | (Induced) termination of pregnancy with unspecified complicationsCMS: (Induced) termination of pregnancy with unsp complications | Can lead a claim | A | None |
| O04.81 | Shock following (induced) termination of pregnancy | Can lead a claim | A | None |
| O04.82 | Renal failure following (induced) termination of pregnancy | Can lead a claim | A | None |
| O04.83 | Metabolic disorder following (induced) termination of pregnancyCMS: Metabolic disorder following (induced) term of pregnancy | Can lead a claim | A | None |
| O04.84 | Damage to pelvic organs following (induced) termination of pregnancyCMS: Damage to pelvic organs fol (induced) term of pregnancy | Can lead a claim | A | None |
| O04.85 | Other venous complications following (induced) termination of pregnancyCMS: Oth venous comp following (induced) termination of pregnancy | Can lead a claim | A | None |
| O04.86 | Cardiac arrest following (induced) termination of pregnancy | Can lead a claim | A | None |
| O04.87 | Sepsis following (induced) termination of pregnancy | Can lead a claim | A | None |
| O04.88 | Urinary tract infection following (induced) termination of pregnancyCMS: Urinary tract infection fol (induced) term of pregnancy | Can lead a claim | A | None |
| O04.89 | (Induced) termination of pregnancy with other complications | Can lead a claim | A | None |
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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