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Compare/O75 vs O85

O75 vs O85

O75 (Other complications of labor and delivery, not elsewhere classified) compared with O85 (Puerperal sepsis), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. O75 carries an Excludes2 note covering O85: “puerperal (postpartum) sepsis (O85)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

O75Other complications of labor and delivery, not elsewhere classifiedO85Puerperal sepsis
Billing statusNon-billable header

Report instead: O75.0, O75.1, O75.2, O75.3, O75.4

Billable
ClassificationO00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)
DefinitionOther complications of labor and delivery, not elsewhere classified is a non-billable ICD-10-CM category code (O75).Puerperal sepsis is a billable ICD-10-CM diagnosis code (O85).
Includes
Postpartum sepsis
Puerperal peritonitis
Puerperal pyemia
Use additional code
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