O86.8
O86.8 — Other specified puerperal infections
Non-billable headerICD-10-CM
O86.8 is a non-billable header ICD-10-CM code for other specified puerperal infections. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with O86.8
These codes carry an Excludes1 note pointing at O86.8. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O86.8 alone.
Risk adjustment
O86.8 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 O86.8
2 child codes. Green means billable.
Related codes at this level
Codes that share O86. If O86.8 is not quite right, the correct code is usually one of these.
Questions about O86.8
- Is O86.8 a billable ICD-10-CM code?
- No. O86.8 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does O86.8 sit in the tabular list?
- Pregnancy, childbirth and the puerperium (O00-O9A), in the block Complications predominantly related to the puerperium (O85-O92).