O86.12

O86.12: Endometritis following delivery

Billable / specific codeICD-10-CM

O86.12 is a billable, specific ICD-10-CM code for endometritis following delivery. It is valid for submission on a claim.

Check O86.12 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above O86.12

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 O86.12

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

O86.12 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

Endometritis›puerperal, postpartum, childbirth
Puerperal, puerperium›perimetritis
Puerperal, puerperium›pyometra
Pregnancy›complicated by›endometritis
Puerperal, puerperium›abscess›uterus

Code history

Unchanged in every release from FY2024 to FY2027.