O08.4 Renal failure following ectopic and molar pregnancy

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

Applicable to

• Kidney failure (acute) following ectopic and molar pregnancy
• Oliguria following ectopic and molar pregnancy
• Renal shutdown following ectopic and molar pregnancy
• Renal tubular necrosis following ectopic and molar pregnancy
• Uremia following ectopic and molar pregnancy

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)

• 639.3 Kidney failure following abortion and 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 O08.4

Back-references to O08.4

• Type 1 Excludes: R34 Anuria and oliguria ("anuria and oliguria complicating abortion or ectopic or molar pregnancy (O00-O07, O08.4)")

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 O08.4

• Anuria › following › ectopic or molar pregnancy
• Complication (s) (from) (of) › ectopic pregnancy › renal failure
• Complication (s) (from) (of) › molar pregnancy NOS › renal failure
• Failure, failed › renal › following › ectopic or molar pregnancy
• Necrosis, necrotic (ischemic) › kidney (bilateral) › cortical (acute) (bilateral) › with ectopic or molar pregnancy
• Necrosis, necrotic (ischemic) › kidney (bilateral) › tubular › with ectopic or molar pregnancy
• Necrosis, necrotic (ischemic) › kidney (bilateral) › tubular › complicating › ectopic or molar pregnancy
• Necrosis, necrotic (ischemic) › kidney (bilateral) › tubular › following ectopic or molar pregnancy
• Oliguria › with, complicating or following ectopic or molar pregnancy
• Pregnancy (single) (uterine) › ectopic (ruptured) › complicated (by) › oliguria
• Pregnancy (single) (uterine) › ectopic (ruptured) › complicated (by) › renal failure or shutdown
• Pregnancy (single) (uterine) › ectopic (ruptured) › complicated (by) › tubular necrosis (renal)
• Pregnancy (single) (uterine) › ectopic (ruptured) › complicated (by) › uremia
• Pregnancy (single) (uterine) › molar NEC › complicated (by) › oliguria
• Pregnancy (single) (uterine) › molar NEC › complicated (by) › renal failure or shutdown
• Pregnancy (single) (uterine) › molar NEC › complicated (by) › tubular necrosis (renal)
• Pregnancy (single) (uterine) › molar NEC › complicated (by) › uremia
• Uremia, uremic › with › ectopic or molar pregnancy
• Uremia, uremic › complicating › ectopic or molar pregnancy
• Uremia, uremic › following ectopic or molar pregnancy

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
• 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 (this code)
• O08.5 Metabolic disorders following an ectopic and molar pregnancy
• O08.6 Damage to pelvic organs and tissues following an ectopic and molar pregnancy
• O08.7 Other venous complications following an ectopic and molar pregnancy
• O08.8 Other complications following an ectopic and molar pregnancy
• O08.81 Cardiac arrest following an ectopic and molar pregnancy