O00.109 Unspecified tubal pregnancy without intrauterine pregnancy

Billable ICD-10-CM code, FY2026. Acts as a Complication or Comorbidity (CC) as a secondary diagnosis.

Applies from O00 Ectopic pregnancy

Includes

• ruptured ectopic pregnancy

Use additional code

• code from category O08 to identify any associated complication

Applies from O00.1 Tubal pregnancy

Applicable to

• Fallopian pregnancy
• Rupture of (fallopian) tube due to pregnancy
• Tubal abortion

Applies from O00.10 Tubal pregnancy without intrauterine pregnancy

Applicable to

• Tubal pregnancy NOS

MS-DRG index

Defines the logic of DRG(s) 817-819 in MDC 14.

Approximate ICD-9-CM (GEMs)

• 633.10 Tubal pregnancy without intrauterine pregnancy (approximate)

Medicare Code Edits (MCE v43.1 (April 2026))

• Maternity diagnoses (age 9 through 64): Age conflict edit. These diagnoses are clinically expected only in patients age 9 through 64.
• Unspecified code (laterality): Unspecified codes for which a more specific code identifying laterality (right, left, bilateral) exists within the same code family.

Code annotations containing back-references to O00.109

Back-references to O00.1

• Type 1 Excludes: N83.6 Hematosalpinx ("tubal pregnancy (O00.1-)")

Back-references to O00

• Type 1 Excludes: D65 Disseminated intravascular coagulation [defibrination syndrome] ("abortion or ectopic or molar pregnancy (O00-O07, O08.1)")
• Type 2 Excludes: D68 Other coagulation defects ("coagulation defects complicating abortion or ectopic or molar pregnancy (O00-O07, O08.1)")
• Type 1 Excludes: G08 Intracranial and intraspinal phlebitis and thrombophlebitis ("abortion, ectopic or molar pregnancy (O00-O07, O08.7)")
• Type 2 Excludes: I26 Pulmonary embolism ("pulmonary embolism complicating abortion, ectopic or molar pregnancy (O00-O07, O08.2)")
• Code First: I47 Paroxysmal tachycardia ("abortion or ectopic or molar pregnancy (O00-O07, O08.8)")
• Code First: I49 Other cardiac arrhythmias ("abortion or ectopic or molar pregnancy (O00-O07, O08.8)")
• Code First: I50 Heart failure ("heart failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.8)")
• Code First: I74 Arterial embolism and thrombosis ("embolism and thrombosis complicating abortion or ectopic or molar pregnancy (O00-O07, O08.2)")
• Code First: I80 Phlebitis and thrombophlebitis (", if applicable: phlebitis and thrombophlebitis complicating abortion, ectopic or molar pregnancy (O00-O07, O08.7)")
• Code First: I82 Other venous embolism and thrombosis ("abortion, ectopic or molar pregnancy (O00-O07, O08.7)")
• Type 1 Excludes: K65 Peritonitis ("peritonitis with or following abortion or ectopic or molar pregnancy (O00-O07, O08.0)")
• Type 2 Excludes: K72 Hepatic failure, not elsewhere classified ("hepatic failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.8)")
• Type 1 Excludes: O20 Hemorrhage in early pregnancy ("pregnancy with abortive outcome (O00-O08)")
• Type 1 Excludes: R34 Anuria and oliguria ("anuria and oliguria complicating abortion or ectopic or molar pregnancy (O00-O07, O08.4)")
• Type 1 Excludes: R55 Syncope and collapse ("shock complicating or following abortion or ectopic or molar pregnancy (O00-O07, O08.3)")
• Type 1 Excludes: R57 Shock, not elsewhere classified ("shock complicating or following ectopic or molar pregnancy (O00-O07, O08.3)")
• Type 1 Excludes: T79.0 Air embolism (traumatic) ("air embolism complicating abortion or ectopic or molar pregnancy (O00-O07, O08.2)")
• Type 1 Excludes: T79.1 Fat embolism (traumatic) ("abortion or ectopic or molar pregnancy (O00-O07, O08.2)")
• Type 1 Excludes: T79.4 Traumatic shock ("shock complicating abortion or ectopic or molar pregnancy (O00-O07, O08.3)")
• Type 1 Excludes: T81.1 Postprocedural shock ("shock following abortion or ectopic or molar pregnancy (O00-O07, O08.3)")
• Type 1 Excludes: T81.7 Vascular complications following a procedure, not elsewhere classified ("embolism complicating abortion or ectopic or molar pregnancy (O00-O07, O08.2)")
• Type 1 Excludes: Z33.1 Pregnant state, incidental ("complications of pregnancy (O00-O9A)")
• Type 1 Excludes: Z34 Encounter for supervision of normal pregnancy ("any complication of pregnancy (O00-O9A)")

Nearby codes

• O00.01 Abdominal pregnancy with intrauterine pregnancy
• O00.1 Tubal pregnancy
• O00.10 Tubal pregnancy without intrauterine pregnancy
• O00.101 Right tubal pregnancy without intrauterine pregnancy
• O00.102 Left tubal pregnancy without intrauterine pregnancy
• O00.109 Unspecified tubal pregnancy without intrauterine pregnancy (this code)
• O00.11 Tubal pregnancy with intrauterine pregnancy
• O00.111 Right tubal pregnancy with intrauterine pregnancy
• O00.112 Left tubal pregnancy with intrauterine pregnancy
• O00.119 Unspecified tubal pregnancy with intrauterine pregnancy
• O00.2 Ovarian pregnancy