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ICD-10-CM Codes
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O00-O9A
Pregnancy, childbirth and the puerperium
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O85-O92
Complications predominantly related to the puerperium
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O86-
Other puerperal infections
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2019 ICD-10-CM Diagnosis Code O86.89
Other specified puerperal infections
2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
- O86.89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
- The 2019 edition of ICD-10-CM O86.89 became effective on October 1, 2018.
- This is the American ICD-10-CM version of O86.89 - other international versions of ICD-10 O86.89 may differ.
ICD-10-CM Coding Rules
- O86.89 is applicable to maternity patients aged 12 - 55 years inclusive.
- O86.89 is applicable to female patients.
The following code(s) above
O86.89 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
O86.89:
- O00-O9A
2019 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.
- O85-O92
2019 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)
- 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
- Puerperal pelvic cellulitis
ICD-10-CM O86.89 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
Convert O86.89 to ICD-9-CM
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 O86.89:
- Erysipelas (gangrenous) (infantile) (newborn) (phlegmonous) (suppurative) A46
ICD-10-CM Diagnosis Code A46
Erysipelas
2016 2017 2018 2019 Billable/Specific Code
Type 1 Excludes- postpartum or puerperal erysipelas (O86.89)
- puerperal, postpartum O86.89
- Infection, infected, infective (opportunistic) B99.9
ICD-10-CM Diagnosis Code B99.9
Unspecified infectious disease
2016 2017 2018 2019 Billable/Specific Code
- puerperal O86.4
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)
- genitourinary tract NEC O86.89
- specified NEC O86.89
- Lymphangitis I89.1
ICD-10-CM Diagnosis Code I89.1
Lymphangitis
2016 2017 2018 2019 Billable/Specific Code
Applicable To- Chronic lymphangitis
- Lymphangitis NOS
- Subacute lymphangitis
Type 1 Excludes- acute lymphangitis (L03.-)
- puerperal, postpartum, childbirth O86.89
- Puerperal, puerperium (complicated by, complications)
- infection O86.4
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)
- lymphangitis O86.89
ICD-10-CM Codes Adjacent To O86.89
O86.13 Vaginitis following delivery
O86.19 Other infection of genital tract following delivery
O86.2 Urinary tract infection following delivery
O86.21 Infection of kidney following delivery
O86.22 Infection of bladder following delivery
O86.29 Other urinary tract infection following delivery
O86.4 Pyrexia of unknown origin following delivery
O86.8 Other specified puerperal infections
O86.81 Puerperal septic thrombophlebitis
O86.89
Other specified puerperal infections
O87 Venous complications and hemorrhoids in the puerperium
O87.0 Superficial thrombophlebitis in the puerperium
O87.1 Deep phlebothrombosis in the puerperium
O87.2 Hemorrhoids in the puerperium
O87.3 Cerebral venous thrombosis in the puerperium
O87.4 Varicose veins of lower extremity in the puerperium
O87.8 Other venous complications in the puerperium
O87.9 Venous complication in the puerperium, unspecified
O88.0 Obstetric air embolism
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
