2018/2019

  1. ICD-10-CM Codes
    2. ›
  2. O00-O9A Pregnancy, childbirth and the puerperium
    3. ›
  3. O85-O92 Complications predominantly related to the puerperium
    4. ›
  4. O85- Puerperal sepsis
    5. ›

2018/2019 ICD-10-CM Diagnosis Code O85

Puerperal sepsis

ICD-10-CM Coding Rules
Applicable To
  • Postpartum sepsis
  • Puerperal peritonitis
  • Puerperal pyemia
Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code (B95-B97
    ICD-10-CM Range B95-B97

    Bacterial and viral infectious agents

    Note
    • These categories are provided for use as supplementary or additional codes to identify the infectious agent(s) in diseases classified elsewhere.
    • B95 Streptococcus, Staphylococcus, and Enter...
    • B96 Other bacterial agents as the cause of d...
    • B97 Viral agents as the cause of diseases cl...
    ), to identify infectious agent
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as O85. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • fever of unknown origin following delivery (
    ICD-10-CM Diagnosis Code O86.4

    Pyrexia of unknown origin following delivery

      2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    Applicable To
    • Puerperal infection NOS following delivery
    • Puerperal pyrexia NOS following delivery
    Type 2 Excludes
    • pyrexia during labor (O75.2)
    O86.4
    )
  • genital tract infection following delivery (
    ICD-10-CM Diagnosis Code O86.1

    Other infection of genital tract following delivery

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    O86.1-
    )
  • obstetric pyemic and septic embolism (
    ICD-10-CM Diagnosis Code O88.3

    Obstetric pyemic and septic embolism

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    O88.3-
    )
  • puerperal septic thrombophlebitis (
    ICD-10-CM Diagnosis Code O86.81

    Puerperal septic thrombophlebitis

      2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    O86.81
    )
  • urinary tract infection following delivery (
    ICD-10-CM Diagnosis Code O86.2

    Urinary tract infection following delivery

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    O86.2-
    )
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (O85) and the excluded code together.
  • sepsis during labor (
    ICD-10-CM Diagnosis Code O75.3

    Other infection during labor

      2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    Applicable To
    • Sepsis during labor
    Use Additional
    • code (B95-B97), to identify infectious agent
    O75.3
    )
The following code(s) above O85 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to O85:
  • O00-O9A
    2019 ICD-10-CM Range O00-O9A

    Pregnancy, childbirth and the puerperium

    Note
    • CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
    • Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
    • Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
    • 1st trimester- less than 14 weeks 0 days
    • 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
    • 3rd trimester- 28 weeks 0 days until delivery
    Type 1 Excludes
    • supervision of normal pregnancy (Z34.-)
    Type 2 Excludes
    • mental and behavioral disorders associated with the puerperium (F53.-)
    • obstetrical tetanus (A34)
    • postpartum necrosis of pituitary gland (E23.0)
    • puerperal osteomalacia (M83.0)
    Use Additional
    • code from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
    Pregnancy, childbirth and the puerperium
  • O85-O92
    2019 ICD-10-CM Range O85-O92

    Complications predominantly related to the puerperium

    Type 2 Excludes
    • mental and behavioral disorders associated with the puerperium (F53.-)
    • obstetrical tetanus (A34)
    • puerperal osteomalacia (M83.0)
    Complications predominantly related to the puerperium
Approximate Synonyms ICD-10-CM O85 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):

Convert O85 to ICD-9-CM

Code History
Code annotations containing back-references to O85:

Diagnosis Index entries containing back-references to O85:

ICD-10-CM Codes Adjacent To O85
O75.89 Other specified complications of labor and delivery
O75.9 Complication of labor and delivery, unspecified
O76 Abnormality in fetal heart rate and rhythm complicating labor and delivery
O77 Other fetal stress complicating labor and delivery
O77.0 Labor and delivery complicated by meconium in amniotic fluid
O77.1 Fetal stress in labor or delivery due to drug administration
O77.8 Labor and delivery complicated by other evidence of fetal stress
O77.9 Labor and delivery complicated by fetal stress, unspecified
O80 Encounter for full-term uncomplicated delivery
O82 Encounter for cesarean delivery without indication
O85 Puerperal sepsis
O86 Other puerperal infections
O86.0 Infection of obstetric surgical wound
O86.00 …… unspecified
O86.01 …… superficial incisional site
O86.02 …… deep incisional site
O86.03 …… organ and space site
O86.04 Sepsis following an obstetrical procedure
O86.09 …… other surgical site
O86.1 Other infection of genital tract following delivery
O86.11 Cervicitis following delivery

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

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