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O86.00 ICD-10-CM Code: Infection of obstetric surgical wound, unspecified

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.

  • MS-DRG 769 — POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES (MDC 14)
  • MS-DRG 776 — POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES (MDC 14)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Official Registry Overview & Definition

Infection of obstetric surgical wound, unspecified is a billable ICD-10-CM diagnosis code (O86.00).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for O86.00 in the official ICD-10-CM tabular list.

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 O86.00 name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

  • FY2019 — 2018-10-01
    Added to the code set
    Infection of obstetric surgical wound, unspecified
    FY2019 changes

Verify Before Coding

  • Age-restricted: the Medicare Code Editor lists this as a maternity (age 9-64) diagnosis; other ages are presumed incorrect.

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

Contextual Map

Every relationship of O86.00 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]
  • O86.0 — Clinical Diagnosis [Hierarchy]

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](via O86.0.-): “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](via O86.0.-): “obstetric surgical wound infection (O86.0-)” · check together

Clinical classification (CCSR)

  • PRG023 — Complications specified during childbirth [CCSR]

Potential MS-DRG

  • DRG 769 — POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES [MS-DRG]: “POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES (MDC 14)”
  • DRG 776 — POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES [MS-DRG]: “POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES (MDC 14)”

MDC crossing · procedures (94)

  • MDC 14 — Pregnancy, Childbirth and the Puerperium [MDC crossing]: “Pregnancy, Childbirth and the Puerperium — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
  • 0U570ZZ — Destruction of Bilateral Fallopian Tubes, Open Approach [Same-MDC procedure]: “Destruction of Bilateral Fallopian Tubes, Open Approach — grouped in MDC 14, the procedure side of this code's crossing.” · check together
  • 0U573ZZ — Destruction of Bilateral Fallopian Tubes, Percutaneous Approach [Same-MDC procedure]: “Destruction of Bilateral Fallopian Tubes, Percutaneous Approach — grouped in MDC 14, the procedure side of this code's crossing.” · check together
  • 0U574ZZ — Destruction of Bilateral Fallopian Tubes, Percutaneous Endoscopic Approach [Same-MDC procedure]: “Destruction of Bilateral Fallopian Tubes, Percutaneous Endoscopic Approach — grouped in MDC 14, the procedure side of this code's crossing.” · check together
  • 0U577ZZ — Destruction of Bilateral Fallopian Tubes, Via Natural or Artificial Opening [Same-MDC procedure]: “Destruction of Bilateral Fallopian Tubes, Via Natural or Artificial Opening — grouped in MDC 14, the procedure side of this code's crossing.” · check together
  • 0U578ZZ — Destruction of Bilateral Fallopian Tubes, Via Natural or Artificial Opening Endoscopic [Same-MDC procedure]: “Destruction of Bilateral Fallopian Tubes, Via Natural or Artificial Opening Endoscopic — grouped in MDC 14, the procedure side of this code's crossing.” · check together
  • and 89 more

Index entries

  • Complication (s) (from) (of), cesarean delivery wound NEC, infection (following delivery)[Index term]
  • Complication (s) (from) (of), obstetric, surgical wound NEC, infection[Index term]
  • Infection, infected, infective (opportunistic), cesarean delivery wound (puerperal)[Index term]
  • Infection, infected, infective (opportunistic), obstetrical surgical wound (puerperal)[Index term]

Nearest codes (21)

  • O86 — Other puerperal infections [Sibling]
  • O86.0 — Infection of obstetric surgical wound [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 — Added to the code set [Change history]

Referenced by Other Codes

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.

Potential MS-DRG Relationships (FY2026)

Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.

Named in the grouper logic of 2 MS-DRGs: DRG 769 (MDC 14), DRG 776 (MDC 14).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Official ICD-10-CM tabular notes on other codes that name O86.00 or its code family.

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 (via O86.0.-), O98 (via O86.-), T81.4 (via O86.0.-).

Nearest Codes in This Family

Official ICD-10-CM classifications closest to O86.00 in its code family, with their registry titles.

  • O86 — Other puerperal infections
  • O86.0 — Infection of obstetric surgical wound
  • 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

Indexed Clinical Terms (4)

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.

  • Complication (s) (from) (of), cesarean delivery wound NEC, infection (following delivery)
  • Complication (s) (from) (of), obstetric, surgical wound NEC, infection
  • Infection, infected, infective (opportunistic), cesarean delivery wound (puerperal)
  • Infection, infected, infective (opportunistic), obstetrical surgical wound (puerperal)