O86 vs O98
O86 (Other puerperal infections) compared with O98 (Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium), 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. O98 carries an Excludes2 note covering O86: “puerperal infection (O86.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| O86Other puerperal infections | O98Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A) | O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A) |
| Definition | Other puerperal infections is a non-billable ICD-10-CM category code (O86). | Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium is a non-billable ICD-10-CM category code (O98). |
| Includes | — | the listed conditions when complicating the pregnant state, when aggravated by the pregnancy, or as a reason for obstetric care |
| Use additional code | code (B95-B97), to identify infectious agent | code (Chapter 1), to identify specific infectious or parasitic disease |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources