O86.4 vs O99.8
O86.4 (Pyrexia of unknown origin following delivery) compared with O99.8 (Other specified diseases and conditions 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. O99.8 carries an Excludes2 note covering O86.4: “infection of genitourinary tract following delivery (O86.1-O86.4)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| O86.4Pyrexia of unknown origin following delivery | O99.8Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | |
|---|---|---|
| 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 | Pyrexia of unknown origin following delivery is a billable ICD-10-CM diagnosis code (O86.4). | Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium is a non-billable ICD-10-CM category code (O99.8). |
| Includes | Puerperal infection NOS following delivery Puerperal pyrexia NOS following delivery | conditions which complicate the pregnant state, are aggravated by the pregnancy or are a main reason for obstetric care Conditions in D00-D48, H00-H95, M00-N99, and Q00-Q99 |
| Use additional code | code (B95-B97), to identify infectious agent | code to identify condition code to identify specific condition |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources