Is ICD-10-CM code O85-O92 billable?

No, O85-O92 (Complications predominantly related to the puerperium (O85-O92)) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code O85-O92 belong to?

O85-O92 belongs to Chapter 15 of the ICD-10-CM tabular list: O00–O9A (Pregnancy, Childbirth and the Puerperium).

O85-O92Not billable, use a more specific code below

Complications predominantly related to the puerperium (O85-O92)

chapter 15: Pregnancy, Childbirth and the Puerperium

Instructional notes

Excludes2: not included here, code separately if applicable

mental and behavioral disorders associated with the puerperium (F53.-)
obstetrical tetanus (A34)
puerperal osteomalacia (M83.0)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Section I.C.15.k Puerperal sepsis (page 67), covers O85-O92
Assign O85 with a secondary code for the causal organism, such as B95-B96, plus R65.2- and organ dysfunction codes if applicable. Do not use A40 or A41 for puerperal sepsis, or O85 for sepsis after an obstetric procedure.

All codes under O85-O92

O85-O92 can't be used on a claim. Pick a billable code below; grey headings group them.

O85-O92 MS-DRGs

This code does not group to an MS-DRG as a principal diagnosis.

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Infections and Pregnancy

During pregnancy, some common infections such as the common cold or a skin infection do not usually cause serious problems. Some infections, such as the flu, can be more severe when you're pregnant. But other infections can be harmful to you, your fetus, or both.

Postpartum Care

Taking home a new baby is one of the happiest times in a woman's life. But it also presents both physical and emotional challenges. : In addition to physical changes, you may feel sad or have the "baby blues." If you are extremely sad or are unable to care for yourself or your baby, you might have a serious condition called postpartum depression.