ICD-10 O07
Non-Billable HeaderFailed attempted termination of pregnancy
About ICD-10-CM O07
ICD-10-CM code O07 represents Failed attempted termination of pregnancy. This is a non-billable header code in the Pregnancy, Childbirth, and Puerperium chapter (block O07). The 2026 edition of ICD-10-CM O07 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Coding Tips for O07
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
Most O codes require a 7th character indicating trimester (1 = first, 2 = second, 3 = third). Some require fetus identification character. Code O09 (supervision of high-risk pregnancy) is required as a secondary code when applicable.
Type 1 Excludes
Pure excludes, these codes can never be coded together with O07. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- incomplete spontaneous abortion (O03.0-)
Includes
- failure of attempted induction of termination of pregnancy
- incomplete elective abortion
Medicare LCD Coverage for O07
Local Coverage Determinations (LCDs) from CMS MACs that list O07 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing O07.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but O07 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with O07
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To O07
Other codes in section O00-O08 (Pregnancy with abortive outcome).
ICD-10 O07, Billing FAQ
Is ICD-10 code O07 billable? +
No, O07 is a non-billable header code. Use a more specific child code from block O07 when submitting claims.
What codes are Type 1 Excludes for O07? +
Type 1 Excludes (never code together with O07): incomplete spontaneous abortion (O03.0-)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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