O85

Billable

ChapterO00–O9A

Rankcategory

Official Description

Puerperal sepsis

Metadata & Insights

•Billable/specific code (valid for reimbursement).
•Chapter 15: Pregnancy, Childbirth and the Puerperium (O00-O9A).

CH15 Parent Instructions

Excludes1(Not coded here. Use a different code.)

supervision of normal pregnancy (Z34.-)

Excludes2(Not included here. Code separately if applicable.)

mental and behavioral disorders associated with the puerperium (F53.-)
obstetrical tetanus (A34)
postpartum necrosis of pituitary gland (E23.0)
puerperal osteomalacia (M83.0)

Use Additional Code

code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.

O85-O92 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)

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

Instructional Notes

Includes

Postpartum sepsis
Puerperal peritonitis
Puerperal pyemia

Excludes1(Not coded here. Use a different code.)

fever of unknown origin following delivery (O86.4)
obstetric pyemic and septic embolism (O88.3-)
puerperal septic thrombophlebitis (O86.81)

Excludes2(Not included here. Code separately if applicable.)

genital tract infection following delivery (O86.1-)
sepsis during labor (O75.3)
urinary tract infection following delivery (O86.2-)

Use Additional Code

code (B95-B97), to identify infectious agent
code (R65.2-) to identify severe sepsis, if applicable

Clinical Hierarchy

BillableHas subcodes

CH15Pregnancy, childbirth and the puerperium (O00-O9A)

O85-O92Complications predominantly related to the puerperium (O85-O92)

O85Puerperal sepsisBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to O85:

blockO85-O92

Complications predominantly related to the puerperium (O85-O92)

View context instructions

chapterCH15

Pregnancy, childbirth and the puerperium (O00-O9A)

View context instructions

MS-DRG Classification

2026 v43.1

This code is grouped within the following Diagnosis Related Group(s) for clinical reimbursement:

DRG 769

Postpartum and Post Abortion Diagnoses with O.R. Procedures

DRG 776

Postpartum and Post Abortion Diagnoses without O.R. Procedures

Cross Reference

Find Procedures (ICD-10-PCS)

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