2025 ICD-10-CM code O86
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Pregnancy, childbirth and the puerperium - Complications predominantly related to the puerperium (O85-O92) Chapter 15: Pregnancy, childbirth and the puerperium (O00-O9A) Feed
Other puerperal infections.Use additional code (B95-B97) to identify the infectious agent.
Modifiers may be applicable depending on the circumstances of the encounter and services provided.Consult the appropriate modifier guidelines for further clarification.
Medical necessity is established by the presence of a puerperal infection.Documentation should clearly demonstrate the signs and symptoms of infection, and the response to treatment.
Obstetrician/Gynecologist, Infectious Disease Specialist
- Chapter 15: Pregnancy, childbirth and the puerperium (O00-O9A)
- O85-O92: Complications predominantly related to the puerperium
In simple words: This code is used for infections that a mother gets after giving birth.It's important to also note the type of infection, like a bacterial or viral infection, using an additional code.
This code encompasses various puerperal infections not otherwise specified.These infections occur after childbirth and are related to the postpartum period.Additional codes from categories B95-B97 should be used to specify the infectious agent involved, if known.The code excludes infections during labor (O75.3), obstetrical tetanus (A34), and puerperal osteomalacia (M83.0).
Example 1: A postpartum patient develops a wound infection at the site of a cesarean section.The infection is confirmed to be Staphylococcus aureus., A patient develops a urinary tract infection (UTI) following vaginal delivery.The UTI is caused by E. coli., A patient presents with a fever and generalized malaise post-partum, with no identifiable source of infection.Further investigations are required.
Complete obstetric history, including mode of delivery, details of any surgical procedures, signs and symptoms of infection (fever, pain, purulent drainage), laboratory results (culture and sensitivity testing), and treatment rendered.
** This code should only be used for maternal records, never for newborn records.Always consider the possibility of more specific codes within the O86 range (O86.0-O86.9) to accurately capture the details of the infection.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Obstetrics and Gynecology, Infectious Disease
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office