O86.0

O86.0: Infection of obstetric surgical wound

Non-billable headerICD-10-CM

O86.0 is a non-billable header ICD-10-CM code for infection of obstetric surgical wound. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

complications of procedures, not elsewhere classified (T81.4-)
postprocedural fever NOS (R50.82)
postprocedural retroperitoneal abscess (K68.11)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Infected cesarean delivery wound following delivery
Infected perineal repair following delivery

Excludes2 inherited from the categories above O86.0

Not part of this code, but both may be coded when both are present.

Written on O86: Other puerperal infections

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

Other codes that can never be billed with O86.0

Their own Excludes1 notes name this code, so the conflict is not listed above.

N71Inflammatory disease of uterus, except cervix

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead O86.0

6 child codes. Green means billable.