O86.01
O86.01: Infection of obstetric surgical wound, superficial incisional site
Billable / specific codeICD-10-CM
O86.01 is a billable, specific ICD-10-CM code for infection of obstetric surgical wound, superficial incisional site. It is valid for submission on a claim.
Check O86.01 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Subcutaneous abscess following an obstetrical procedure
- Stitch abscess following an obstetrical procedure
Excludes1 inherited from the categories above O86.01
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above O86.01
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with O86.01
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.
Medicare coverage
O86.01 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56421Billing and Coding: CT of the Abdomen and Pelvis
Alphabetic index entries that lead here
- Abscess›stitch›following an obstetrical procedure
- Abscess›subcutaneous›following procedure›obstetrical
- Infection, infected, infective›obstetrical surgical wound›incisional site›superficial
Code history
Unchanged in every release from FY2024 to FY2027.