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ICD-10-CM Codes
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O00-O9A
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O85-O92
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O86-
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2023 ICD-10-CM Diagnosis Code O86.01
2023 ICD-10-CM Diagnosis Code O86.01
Infection of obstetric surgical wound, superficial incisional site
2019 - New Code 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
- O86.01 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
- Short description: Infct of obstetric surgical wound, superfic incisional site
- The 2023 edition of ICD-10-CM O86.01 became effective on October 1, 2022.
- This is the American ICD-10-CM version of O86.01 - other international versions of ICD-10 O86.01 may differ.
ICD-10-CM Coding Rules
- O86.01 is applicable to maternity patients aged 12 - 55 years inclusive.
- O86.01 is applicable to female patients.
Applicable To- Subcutaneous abscess following an obstetrical procedure
- Stitch abscess following an obstetrical procedure
The following code(s) above
O86.01 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
O86.01:
- O00-O9A
2023 ICD-10-CM Range O00-O9A
Pregnancy, childbirth and the puerperiumNote- 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
2023 ICD-10-CM Range O85-O92
Complications predominantly related to the puerperiumType 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 2021 2022 2023 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 - O86.0
ICD-10-CM Diagnosis Code O86.0
Infection of obstetric surgical wound
2016 2017 2018 2019 - Converted to Parent Code 2020 2021 2022 2023 Non-Billable/Non-Specific Code
Applicable To- Infected cesarean delivery wound following delivery
- Infected perineal repair following delivery
Type 1 Excludes- complications of procedures, not elsewhere classified (T81.4-)
- postprocedural fever NOS (R50.82)
- postprocedural retroperitoneal abscess (K68.11)
Infection of obstetric surgical wound
ICD-10-CM O86.01 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
- 769 Postpartum and post abortion diagnoses with o.r. Procedures
- 776 Postpartum and post abortion diagnoses without o.r. Procedures
Code History
- 2019 (effective 10/1/2018): New code
- 2020 (effective 10/1/2019): No change
- 2021 (effective 10/1/2020): No change
- 2022 (effective 10/1/2021): No change
- 2023 (effective 10/1/2022): No change
- Abscess (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic) L02.91
ICD-10-CM Diagnosis Code L02.91
Cutaneous abscess, unspecified
2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
- stitch T81.41
ICD-10-CM Diagnosis Code T81.41
Infection following a procedure, superficial incisional surgical site
2019 - New Code 2020 2021 2022 2023 Non-Billable/Non-Specific Code
Applicable To- Subcutaneous abscess following a procedure
- Stitch abscess following a procedure
- following an obstetrical procedure O86.01
- subcutaneous - see also Abscess, by site
- following procedure T81.41
ICD-10-CM Diagnosis Code T81.41
Infection following a procedure, superficial incisional surgical site
2019 - New Code 2020 2021 2022 2023 Non-Billable/Non-Specific Code
Applicable To- Subcutaneous abscess following a procedure
- Stitch abscess following a procedure
- Infection, infected, infective (opportunistic) B99.9
ICD-10-CM Diagnosis Code B99.9
Unspecified infectious disease
2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
- obstetrical surgical wound (puerperal) O86.00
ICD-10-CM Diagnosis Code O86.00
Infection of obstetric surgical wound, unspecified
2019 - New Code 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
ICD-10-CM Codes Adjacent To O86.01
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
O86 Other puerperal infections
O86.0 Infection of obstetric surgical wound
O86.01
…… superficial incisional site
O86.02 …… deep incisional site
O86.03 …… organ and space site
O86.04 Sepsis following an obstetrical procedure
O86.1 Other infection of genital tract following delivery
O86.11 Cervicitis following delivery
O86.12 Endometritis following delivery
O86.13 Vaginitis following delivery
O86.19 Other infection of genital tract following delivery
O86.2 Urinary tract infection following delivery
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.