2019 ICD-10-CM Diagnosis Code O86.01

Infection of obstetric surgical wound, superficial incisional site

    2019 - New Code 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
  • ICD-10-CM O86.01 is a new 2019 ICD-10-CM code that became effective on October 1, 2018.
  • 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
    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
  • O86
    ICD-10-CM Diagnosis Code O86

    Other puerperal infections

      2016 2017 2018 2019 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 - Deleted Code 2019 - New Code 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 v36.0):
  • 769 Postpartum and post abortion diagnoses with o.r. Procedure
  • 776 Postpartum and post abortion diagnoses without o.r. Procedure
Code History
  • 2019 (effective 10/1/2018): New code

Diagnosis Index entries containing back-references to O86.01:
  • 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 Billable/Specific Code
    • stitch T81.41
      ICD-10-CM Diagnosis Code T81.41

      Infection following a procedure, superficial incisional surgical site

        2019 - New Code 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 Non-Billable/Non-Specific Code
        Applicable To
        • Subcutaneous abscess following a procedure
        • Stitch abscess following a procedure
        • obstetrical O86.01
  • Infection, infected, infective (opportunistic) B99.9
    ICD-10-CM Diagnosis Code B99.9

    Unspecified infectious disease

      2016 2017 2018 2019 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 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
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
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.