O75.4 vs O86.0
O75.4 (Other complications of obstetric surgery and procedures) compared with O86.0 (Infection of obstetric surgical wound), 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. O75.4 carries an Excludes2 note covering O86.0: “infection of obstetrical (surgical) wound (O86.0-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Yes, when both are documented. O75.4 carries an Excludes2 note covering O86.0: “puerperal (postpartum) infection (O86.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| O75.4Other complications of obstetric surgery and procedures | O86.0Infection of obstetric surgical wound | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| Classification | O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A) | O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A) |
| Definition | Other complications of obstetric surgery and procedures is a billable ICD-10-CM diagnosis code (O75.4). | Infection of obstetric surgical wound is a non-billable ICD-10-CM category code (O86.0). |
| Includes | Cardiac arrest following obstetric surgery or procedures Cardiac failure following obstetric surgery or procedures Cerebral anoxia following obstetric surgery or procedures Pulmonary edema following obstetric surgery or procedures | Infected cesarean delivery wound following delivery Infected perineal repair following delivery |
| Use additional code | code to identify specific complication | code (B95-B97), to identify infectious agent |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources