O86.03 — Infection of obstetric surgical wound, organ and space site
Is O86.03 billable?
Yes — O86.03 is billable for FY2027. O86.03 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. O86.03 may be submitted for encounters from October 1, 2026 through September 30, 2027.
O86.03 at a glance
| Code | O86.03 |
|---|---|
| Description | Infection of obstetric surgical wound, organ and space site |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does O86.03 group to?
O86.03 sits in MDC 14 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 769Postpartum and Post Abortion Diagnoses with O.R. Proceduressurgical
How is O86.03 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to O86.03. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Abscess › subphrenic › following an obstetrical procedure (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic)
- Infection, infected, infective › obstetrical surgical wound › organ and space site (opportunistic)
- Abscess › intra-abdominal › following procedure › obstetrical (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic)
Inclusion terms
Alternative wording in documentation that is classified to O86.03.
- Intraabdominal abscess following an obstetrical procedure
- Subphrenic abscess following an obstetrical procedure
Excludes1 — never code together — inherited from Chapter 15
The conditions below can never be reported together with O86.03 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- supervision of normal pregnancy (Z34.-)
Excludes1 — never code together — inherited from O86.0
The conditions below can never be reported together with O86.03 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Use additional code — inherited from Chapter 15
Report an additional code alongside O86.03 to fully describe the condition. O86.03 is sequenced first.
- code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
Use additional code — inherited from O86
Report an additional code alongside O86.03 to fully describe the condition. O86.03 is sequenced first.
- code (B95-B97), to identify infectious agent
Excludes2 — not included here — inherited from Chapter 15
The conditions below are not part of O86.03, but a patient may have both at the same time. When documentation supports it, O86.03 and the excluded code may both be reported.
Excludes2 — not included here — inherited from O85-O92
The conditions below are not part of O86.03, but a patient may have both at the same time. When documentation supports it, O86.03 and the excluded code may both be reported.
Excludes2 — not included here — inherited from O86
The conditions below are not part of O86.03, but a patient may have both at the same time. When documentation supports it, O86.03 and the excluded code may both be reported.
How long has O86.03 existed?
O86.03 first appears in FY2019.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the O86.0 family? (5)
- O86.00Infection of obstetric surgical wound, unspecified
- O86.01Infection of obstetric surgical wound, superficial incisional site
- O86.02Infection of obstetric surgical wound, deep incisional site
- O86.04Sepsis following an obstetrical procedure
- O86.09Infection of obstetric surgical wound, other surgical site