Is O86 a billable ICD-10-CM code?

No. O86 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does O86 sit in the tabular list?

Pregnancy, childbirth and the puerperium (O00-O9A), in the block Complications predominantly related to the puerperium (O85-O92).

O86

O86 — Other puerperal infections

Non-billable headerICD-10-CM

O86 is a non-billable header ICD-10-CM code for other puerperal infections. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes2 — not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

infection during labor (O75.3)
obstetrical tetanus (A34)

Use additional code

Add a secondary code to capture the detail described below.

code (B95-B97), to identify infectious agent

Other codes that can never be billed with O86

These codes carry an Excludes1 note pointing at O86. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O86 alone.

N71Inflammatory disease of uterus, except cervix
O85Puerperal sepsis
R50Fever of other and unknown origin
A46Erysipelas

Risk adjustment

O86 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead O86

5 child codes. Green means billable.

Questions about O86

Is O86 a billable ICD-10-CM code?: No. O86 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does O86 sit in the tabular list?: Pregnancy, childbirth and the puerperium (O00-O9A), in the block Complications predominantly related to the puerperium (O85-O92).