O86.81
O86.81: Puerperal septic thrombophlebitis
Billable / specific codeICD-10-CM
O86.81 is a billable, specific ICD-10-CM code for puerperal septic thrombophlebitis. It is valid for submission on a claim.
Check O86.81 with the rest of the claim: free scrubberOther codes that can never be billed with O86.81
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
O86.81 is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56697Billing and Coding: Non-Invasive Vascular Studies
- A56758Billing and Coding: Non-Invasive Vascular Studies
- A57594Billing and Coding: Non-Invasive Peripheral Venous Vascular and Hemodialysis Access Studies
Alphabetic index entries that lead here
- Puerperal, puerperium›septic thrombophlebitis
- Puerperal, puerperium›thrombophlebitis›septic
- Thrombophlebitis›puerperal, postpartum, childbirth›septic
Code history
Unchanged in every release from FY2024 to FY2027.