2019 ICD-10-CM Diagnosis Code O86

Other puerperal infections

    2016 2017 2018 2019 Non-Billable/Non-Specific Code
  • O86 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2019 edition of ICD-10-CM O86 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of O86 - other international versions of ICD-10 O86 may differ.
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 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 (O86) and the excluded code together.
  • infection 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
    )
  • obstetrical tetanus (
    ICD-10-CM Diagnosis Code A34

    Obstetrical tetanus

      2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    A34
    )
The following code(s) above O86 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 O86:
  • 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
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
Code annotations containing back-references to O86:
  • Type 1 Excludes: N71
    ICD-10-CM Diagnosis Code N71

    Inflammatory disease of uterus, except cervix

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Includes
    • endo (myo) metritis
    • metritis
    • myometritis
    • pyometra
    • uterine abscess
    Type 1 Excludes
    • hyperplastic endometritis (N85.0-)
    • infection of uterus following delivery (O85, O86.-)
    Use Additional
    • code (B95-B97), to identify infectious agent
  • Type 2 Excludes: O75
    , O98
    ICD-10-CM Diagnosis Code O75

    Other complications of labor and delivery, not elsewhere classified

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • puerperal (postpartum) infection (O86.-)
    • puerperal (postpartum) sepsis (O85)
    ICD-10-CM Diagnosis Code O98

    Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Includes
    • the listed conditions when complicating the pregnant state, when aggravated by the pregnancy, or as a reason for obstetric care
    Type 2 Excludes
    • herpes gestationis (O26.4-)
    • infectious carrier state (O99.82-, O99.83-)
    • obstetrical tetanus (A34)
    • puerperal infection (O86.-)
    • puerperal sepsis (O85)
    • when the reason for maternal care is that the disease is known or suspected to have affected the fetus (O35-O36)
    Use Additional
    • code (Chapter 1), to identify specific infectious or parasitic disease
ICD-10-CM Codes Adjacent To O86
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
O86.12 Endometritis following delivery

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