2025 ICD-10-CM code O86.00
(Active) Effective Date: N/A Revision Date: N/A Obstetric Complications - Complications predominantly related to the puerperium Chapter XV: Pregnancy, childbirth and the puerperium Feed
Infection of an obstetric surgical wound; unspecified.
Modifiers may be applicable depending on the circumstances of the service, such as the location of the service or the nature of the procedure. Consult the latest modifier guidelines for any applicable codes.
The medical necessity for coding O86.00 is established by the presence of a documented infection at the site of an obstetric surgical wound.Appropriate documentation of the infection's characteristics, treatment, and resolution is necessary to support medical necessity.
Obstetrician-gynecologist, infectious disease specialist (if consultation needed)
- Chapter XV: Pregnancy, childbirth and the puerperium
- O85-O92 (Complications predominantly related to the puerperium)
In simple words: This code describes an infection in a surgical wound from a procedure related to childbirth. The exact location of the infection and what caused it aren't specified.
This code classifies infections affecting surgical wounds incurred during obstetric procedures.The infection is not specified as to its location or causative organism.This code is used only for maternal records and should not be applied to newborn records.It's applied when the infection is related to or aggravated by pregnancy, childbirth, or the puerperium.Additional codes may be necessary to specify the infectious agent (using codes B95-B97) and the location of the infection.
Example 1: A 30-year-old woman undergoes a cesarean section.Post-surgery, she develops an infection at the incision site.This code would be used to describe the infection., A patient experiences a postpartum infection at the site of an episiotomy repair.This code would be appropriate, requiring additional codes to specify the infecting organism and the location., A woman develops a wound infection following a dilation and curettage (DC) procedure, requiring antibiotic treatment and additional monitoring. This code would be used to describe this complication.Further codes might be necessary based on the specific organism causing the infection.
Complete surgical and procedural notes, microbiology reports (if cultures performed), antibiotic administration records, physical examination findings documenting the infection, and progress notes reflecting the treatment and resolution of the infection.
** Always verify the code's accuracy and appropriateness based on the specific circumstances of the case. Consult with a qualified coding specialist if uncertain about code selection or application.
- Payment Status: Active
- Modifier TC rule: Not applicable.This is a diagnosis code, not a procedure code.
- Specialties:Obstetrics and Gynecology, Infectious Disease
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center