O86.03

O86.03: Infection of obstetric surgical wound, organ and space site

Billable / specific codeICD-10-CM

O86.03 is a billable, specific ICD-10-CM code for infection of obstetric surgical wound, organ and space site. It is valid for submission on a claim.

Check O86.03 with the rest of the claim: free scrubber

Inclusion terms

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

Intraabdominal abscess following an obstetrical procedure
Subphrenic abscess following an obstetrical procedure

Excludes1 inherited from the categories above O86.03

A category’s note binds every code beneath it.

Written on O86.0: Infection of obstetric surgical wound

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

Excludes2 inherited from the categories above O86.03

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 O86.03

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

O86.03 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›subphrenic›following an obstetrical procedure
Infection, infected, infective›obstetrical surgical wound›organ and space site
Abscess›intra-abdominal›following procedure›obstetrical

Code history

Unchanged in every release from FY2024 to FY2027.