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Compare/N71 vs O85

N71 vs O85

N71 (Inflammatory disease of uterus, except cervix) compared with O85 (Puerperal sepsis), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. N71 carries an Excludes1 note covering O85: “infection of uterus following delivery (O85, O86.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

No — do not report together. N71 carries an Excludes1 note covering O85: “pregnancy, childbirth and the puerperium (O23.-, O75.3, O85, O86.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

N71Inflammatory disease of uterus, except cervixO85Puerperal sepsis
Billing statusNon-billable header

Report instead: N71.0, N71.1, N71.9

Billable
ClassificationN00-N99 — Diseases of the Genitourinary System (N00-N99)O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)
DefinitionInflammatory disease of uterus, except cervix is a non-billable ICD-10-CM category code (N71).Puerperal sepsis is a billable ICD-10-CM diagnosis code (O85).
Includes
endo (myo) metritis
metritis
myometritis
pyometra
Postpartum sepsis
Puerperal peritonitis
Puerperal pyemia
Use additional code
code (B95-B97), to identify infectious agent
code (B95-B97), to identify infectious agent
code (R65.2-) to identify severe sepsis, if applicable

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources