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O86.0 ICD-10-CM Code: Infection of obstetric surgical wound

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Official Registry Overview & Definition

Infection of obstetric surgical wound is a non-billable ICD-10-CM category code (O86.0). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for O86.0 in the official ICD-10-CM tabular list.

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Infected cesarean delivery wound following delivery
  • Infected perineal repair following delivery

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Use Additional Code

Supplementary codes the tabular list directs you to add.

  • Use additional code (B95-B97), to identify infectious agent

Frequently Compared Codes

The official Excludes notes on O86.0 name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

Verify Before Coding

  • Not billable as written — a more specific code is required.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.

Relationships & Classification

Other codes that name O86.0 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

9 Excludes1 notes: N70 (via O86.-), N70-N77 (via O86.-), N71 (via O86.-), N72 (via O86.-), N73 (via O86.-), N74 (via O86.-), N75 (via O86.-), N76 (via O86.-), N77 (via O86.-).

4 Excludes2 notes across 2 chapters: O75 (via O86.-), O75.4, O98 (via O86.-), T81.4.

Clinical classification (AHRQ CCSR):PRG023 — Complications specified during childbirth (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Complications specified during childbirth).

O75.3 — Other infection during labor, O75.4 — Other complications of obstetric surgery and procedures, O75.5 — Delayed delivery after artificial rupture of membranes, O75.81 — Maternal exhaustion complicating labor and delivery, O75.82 — Onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section, O75.89 — Other specified complications of labor and delivery, O75.9 — Complication of labor and delivery, unspecified, O76 — Abnormality in fetal heart rate and rhythm complicating labor and delivery, O77.0 — Labor and delivery complicated by meconium in amniotic fluid, O82 — Encounter for cesarean delivery without indication, O86.00 — Infection of obstetric surgical wound, unspecified, O86.01 — Infection of obstetric surgical wound, superficial incisional site, O86.02 — Infection of obstetric surgical wound, deep incisional site, O86.03 — Infection of obstetric surgical wound, organ and space site, O86.04 — Sepsis following an obstetrical procedure, O86.09 — Infection of obstetric surgical wound, other surgical site, O88.02 — Air embolism in childbirth, O88.12 — Amniotic fluid embolism in childbirth, O88.22 — Thromboembolism in childbirth, O88.32 — Pyemic and septic embolism in childbirth, +91 more

Contextual Map

Every relationship of O86.0 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Hierarchy

  • O00-O9A — Chapter 15: Pregnancy, Childbirth and the Puerperium (O00-O9A) (O00-O9A) [Hierarchy]
  • O85-O92 — Complications predominantly related to the puerperium [Hierarchy]
  • O86 — Clinical Diagnosis [Hierarchy]

Excludes1

  • K68.11 — Postprocedural retroperitoneal abscess [Excludes1]: “postprocedural retroperitoneal abscess (K68.11)” · check together
  • R50.82 — Postprocedural fever [Excludes1]: “postprocedural fever NOS (R50.82)” · check together
  • T81.4 — Infection following a procedure [Excludes1]: “complications of procedures, not elsewhere classified (T81.4-)” · check together

Referenced by Excludes1 notes (9)

  • N70 — Salpingitis and oophoritis [Excludes1](via O86.-): “pregnancy, childbirth and the puerperium (O23.-, O75.3, O85, O86.-)” · check together
  • N70-N77 — Inflammatory diseases of female pelvic organs (N70-N77) [Excludes1](via O86.-): “pregnancy, childbirth and the puerperium (O23.-, O75.3, O85, O86.-)” · check together
  • N71 — Inflammatory disease of uterus, except cervix [Excludes1](via O86.-): “infection of uterus following delivery (O85, O86.-)” · check together
  • N72 — Inflammatory disease of cervix uteri [Excludes1](via O86.-): “pregnancy, childbirth and the puerperium (O23.-, O75.3, O85, O86.-)” · check together
  • N73 — Other female pelvic inflammatory diseases [Excludes1](via O86.-): “pregnancy, childbirth and the puerperium (O23.-, O75.3, O85, O86.-)” · check together
  • N74 — Female pelvic inflammatory disorders in diseases classified elsewhere [Excludes1](via O86.-): “pregnancy, childbirth and the puerperium (O23.-, O75.3, O85, O86.-)” · check together
  • N75 — Diseases of Bartholin's gland [Excludes1](via O86.-): “pregnancy, childbirth and the puerperium (O23.-, O75.3, O85, O86.-)” · check together
  • N76 — Other inflammation of vagina and vulva [Excludes1](via O86.-): “pregnancy, childbirth and the puerperium (O23.-, O75.3, O85, O86.-)” · check together
  • and 1 more

Referenced by Excludes2 notes

  • O75 — Other complications of labor and delivery, not elsewhere classified [Excludes2](via O86.-): “puerperal (postpartum) infection (O86.-)” · check together
  • O75.4 — Other complications of obstetric surgery and procedures [Excludes2]: “infection of obstetrical (surgical) wound (O86.0-)” · check together
  • O98 — Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium [Excludes2](via O86.-): “puerperal infection (O86.-)” · check together
  • T81.4 — Infection following a procedure [Excludes2]: “obstetric surgical wound infection (O86.0-)” · check together

Clinical classification (CCSR)

  • PRG023 — Complications specified during childbirth [CCSR]

Nearest codes (21)

  • O86 — Other puerperal infections [Sibling]
  • O86.00 — Infection of obstetric surgical wound, unspecified [Sibling]
  • O86.01 — Infection of obstetric surgical wound, superficial incisional site [Sibling]
  • O86.02 — Infection of obstetric surgical wound, deep incisional site [Sibling]
  • O86.03 — Infection of obstetric surgical wound, organ and space site [Sibling]
  • O86.04 — Sepsis following an obstetrical procedure [Sibling]
  • O86.09 — Infection of obstetric surgical wound, other surgical site [Sibling]
  • O86.1 — Other infection of genital tract following delivery [Sibling]
  • and 13 more

Change history

  • FY2019 — Became a non-billable header [Change history]

Frequently Asked Questions (FAQ) & Clinical Guidance

Can O86.0 be billed directly?

No. O86.0 (Infection of obstetric surgical wound) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to O86.0 in its code family, with their registry titles.

  • O86 — Other puerperal infections
  • O86.00 — Infection of obstetric surgical wound, unspecified
  • O86.01 — Infection of obstetric surgical wound, superficial incisional site
  • O86.02 — Infection of obstetric surgical wound, deep incisional site
  • O86.03 — Infection of obstetric surgical wound, organ and space site
  • O86.04 — Sepsis following an obstetrical procedure
  • O86.09 — Infection of obstetric surgical wound, other surgical site
  • O86.1 — Other infection of genital tract following delivery
  • O86.11 — Cervicitis following delivery
  • O86.12 — Endometritis following delivery

View all codes in the O86 family