2025 ICD-10-CM code O86.03
Infection of obstetric surgical wound, organ, or space. This includes intraabdominal or subphrenic abscesses following an obstetrical procedure.
Medical necessity is established by the presence of signs and symptoms of infection, such as fever, pain, swelling, redness, or purulent drainage at the surgical site or within the affected organ/space.
Obstetricians and other healthcare professionals managing postpartum complications.
- 15 Pregnancy, childbirth and the puerperium
- O85-O92 Complications predominantly related to the puerperium
In simple words: This code indicates an infection at the site of a surgical cut made during a procedure related to pregnancy or childbirth.
Infection of obstetric surgical wound, organ and space site.This code is used specifically for infections occurring at the site of a surgical incision or within the organs or spaces accessed during an obstetrical surgical procedure. Examples include intra-abdominal abscesses or subphrenic abscesses that develop after a cesarean section, hysterotomy, or other obstetrical surgery.
Example 1: A patient develops an intra-abdominal abscess after a cesarean delivery., A patient experiences a wound infection at the site of a hysterotomy incision., A patient presents with a subphrenic abscess following a surgical repair of a ruptured uterus during childbirth.
Documentation should clearly indicate the presence of infection, its location (organ or space), the relationship to the obstetric surgical procedure, and the type of surgical wound if applicable.If sepsis is present, document signs and symptoms supporting the diagnosis.
** Excludes1: complications of procedures, not elsewhere classified (T81.4-) postprocedural fever NOS (R50.82) postprocedural retroperitoneal abscess (K68.11). Excludes2: infection during labor (O75.3) obstetrical tetanus (A34)
- Payment Status: Active
- Specialties:Obstetrics and Gynecology, Maternal-Fetal Medicine
- Place of Service:Inpatient Hospital, Birthing Center