O08.1 Delayed or excessive hemorrhage following ectopic and molar pregnancy

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

Applicable to

• Afibrinogenemia following ectopic and molar pregnancy
• Defibrination syndrome following ectopic and molar pregnancy
• Hemolysis following ectopic and molar pregnancy
• Intravascular coagulation following ectopic and molar pregnancy

Excludes1 (never code together)

• delayed or excessive hemorrhage due to incomplete abortion (O03.1)

Applies from O08 Complications following ectopic and molar pregnancy

Applicable to

• This category is for use with categories O00-O02 to identify any associated complications

MS-DRG index

Defines the logic of DRG(s) 769 in MDC 14.

Approximate ICD-9-CM (GEMs)

• 639.1 Delayed or excessive hemorrhage following abortion or ectopic and molar pregnancies

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.

Code annotations containing back-references to O08.1

Back-references to O08.1

• 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)")

Back-references to O08

• Use Additional: O00 Ectopic pregnancy ("code from category O08 to identify any associated complication")
• Use Additional: O01 Hydatidiform mole ("code from category O08 to identify any associated complication.")
• Use Additional: O02 Other abnormal products of conception ("code from category O08 to identify any associated complication.")
• Type 1 Excludes: O20 Hemorrhage in early pregnancy ("pregnancy with abortive outcome (O00-O08)")

Diagnosis Index entries for O08.1

• Afibrinogenemia › following ectopic or molar pregnancy
• Blood › dyscrasia › with › ectopic pregnancy
• Blood › dyscrasia › with › molar pregnancy
• Blood › dyscrasia › following ectopic or molar pregnancy
• Coagulation, intravascular (diffuse) (disseminated) › following ectopic or molar pregnancy
• Complication (s) (from) (of) › ectopic pregnancy › hemorrhage (delayed) (excessive)
• Complication (s) (from) (of) › molar pregnancy NOS › hemorrhage (delayed) (excessive)
• Defect, defective › coagulation (factor) › with › ectopic pregnancy
• Defect, defective › coagulation (factor) › with › molar pregnancy
• Defibrination (syndrome) › following ectopic or molar pregnancy
• Deficiency, deficient › coagulation NOS › with › ectopic pregnancy
• Deficiency, deficient › coagulation NOS › with › molar pregnancy
• Fibrinolysis (hemorrhagic) (acquired) › following › ectopic or molar pregnancy
• Hemolysis › intravascular › with › ectopic or molar pregnancy
• Hemorrhage, hemorrhagic (concealed) › delayed › following ectopic or molar pregnancy
• Hemorrhage, hemorrhagic (concealed) › excessive, following ectopic gestation (subsequent episode)
• Pregnancy (single) (uterine) › ectopic (ruptured) › complicated (by) › afibrinogenemia
• Pregnancy (single) (uterine) › ectopic (ruptured) › complicated (by) › defibrination syndrome
• Pregnancy (single) (uterine) › ectopic (ruptured) › complicated (by) › hemorrhage (delayed) (excessive)
• Pregnancy (single) (uterine) › ectopic (ruptured) › complicated (by) › intravascular coagulation
• Pregnancy (single) (uterine) › molar NEC › complicated (by) › afibrinogenemia
• Pregnancy (single) (uterine) › molar NEC › complicated (by) › defibrination syndrome
• Pregnancy (single) (uterine) › molar NEC › complicated (by) › hemorrhage (delayed) (excessive)
• Pregnancy (single) (uterine) › molar NEC › complicated (by) › intravascular coagulation

Nearby codes

• O08 Complications following ectopic and molar pregnancy
• O08.0 Genital tract and pelvic infection following ectopic and molar pregnancy
• O08.1 Delayed or excessive hemorrhage following ectopic and molar pregnancy (this code)
• O08.2 Embolism following ectopic and molar pregnancy
• O08.3 Shock following ectopic and molar pregnancy
• O08.4 Renal failure following ectopic and molar pregnancy
• O08.5 Metabolic disorders following an ectopic and molar pregnancy
• O08.6 Damage to pelvic organs and tissues following an ectopic and molar pregnancy