2020 ICD-10-CM Diagnosis Code O86.0

Infection of obstetric surgical wound

    2016 2017 2018 2019 - Converted to Parent Code 2020 Non-Billable/Non-Specific Code
  • O86.0 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2020 edition of ICD-10-CM O86.0 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of O86.0 - other international versions of ICD-10 O86.0 may differ.
Applicable To
  • Infected cesarean delivery wound following delivery
  • Infected perineal repair following delivery
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 O86.0. 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.
  • complications of procedures, not elsewhere classified (
    ICD-10-CM Diagnosis Code T81.4

    Infection following a procedure

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Wound abscess following a procedure
    Type 2 Excludes
    Use Additional
    • code to identify infection
    T81.4-
    )
  • postprocedural fever NOS (
    ICD-10-CM Diagnosis Code R50.82

    Postprocedural fever

      2016 2017 2018 2019 2020 Billable/Specific Code
    Type 1 Excludes
    • postprocedural infection (T81.4-)
    • posttransfusion fever (R50.84)
    • postvaccination (postimmunization) fever (R50.83)
    R50.82
    )
  • postprocedural retroperitoneal abscess (
    ICD-10-CM Diagnosis Code K68.11

    Postprocedural retroperitoneal abscess

      2016 2017 2018 2019 2020 Billable/Specific Code
    Type 2 Excludes
    • infection following procedure (T81.4-)
    K68.11
    )
The following code(s) above O86.0 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 O86.0:
  • O00-O9A
    2020 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
    2020 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
  • O86
    ICD-10-CM Diagnosis Code O86

    Other puerperal infections

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • infection during labor (O75.3)
    • obstetrical tetanus (A34)
    Use Additional
    • code (B95-B97), to identify infectious agent
    Other puerperal infections
Approximate Synonyms
  • Episiotomy infection
  • Infection of cesarean section incision
  • Infection of surgical perineal wound postpartum
  • Postpartum (after childbirth) infection of cesarean section incision
  • Postpartum (after childbirth) infection of surgical perineal wound
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): Deleted code
  • 2019 (effective 10/1/2018): New code
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to O86.0:
  • Type 2 Excludes: T81.4
    , O75.4
    ICD-10-CM Diagnosis Code T81.4

    Infection following a procedure

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Wound abscess following a procedure
    Type 2 Excludes
    Use Additional
    • code to identify infection
    ICD-10-CM Diagnosis Code O75.4

    Other complications of obstetric surgery and procedures

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
    Applicable To
    • Cardiac arrest following obstetric surgery or procedures
    • Cardiac failure following obstetric surgery or procedures
    • Cerebral anoxia following obstetric surgery or procedures
    • Pulmonary edema following obstetric surgery or procedures
    Type 2 Excludes
    • complications of anesthesia during labor and delivery (O74.-)
    • disruption of obstetrical (surgical) wound (O90.0-O90.1)
    • hematoma of obstetrical (surgical) wound (O90.2)
    • infection of obstetrical (surgical) wound (O86.0-)
    Use Additional
    • code to identify specific complication
ICD-10-CM Codes Adjacent To O86.0
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
O86.13 Vaginitis following delivery

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