2025 ICD-10-CM code O86.0
(Valid) Effective Date: N/A Revision Date: N/A Complications predominantly related to the puerperium - Puerperal infection 15 Pregnancy, childbirth and the puerperium Feed
Infection of obstetric surgical wound. This includes infected cesarean delivery wound and infected perineal repair following delivery.
Medical necessity is established by the presence of signs and symptoms of infection at an obstetric surgical wound. Treatment is necessary to prevent complications such as sepsis or further spread of infection.
Obstetricians and other healthcare professionals providing postpartum care are responsible for diagnosing and managing infections of obstetric surgical wounds.
- 15 Pregnancy, childbirth and the puerperium
- O85-O92 Complications predominantly related to the puerperium
In simple words: Infection of a surgical wound related to childbirth, such as a C-section incision or an episiotomy repair.
Infection of obstetric surgical wound. This includes infection of cesarean section wounds and infection of perineal repair wounds.Use additional code (B95-B97) to identify infectious agent.
Example 1: A patient develops an infection at her cesarean section incision site one week postpartum., A patient experiences pain, redness, and swelling at her episiotomy repair site three days postpartum, and an infection is diagnosed., A patient undergoes a cerclage placement during pregnancy, and the surgical site becomes infected two weeks later.
Documentation should include the location of the wound infection (e.g., cesarean incision, perineal repair), signs and symptoms of infection (e.g., redness, swelling, pain, purulent drainage), and any cultures taken to identify the causative organism. If a specific organism is identified, it should be coded with a B95-B97 code in addition to O86.0.
** 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, Outpatient Hospital, Office, Home