2021 ICD-10-CM Code O86.04
Sepsis following an obstetrical procedure
Valid for Submission
O86.04 is a billable diagnosis code used to specify a medical diagnosis of sepsis following an obstetrical procedure. The code O86.04 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The code O86.04 is applicable to female patients aged 12 through 55 years inclusive. It is clinically and virtually impossible to use this code on a non-female patient outside the stated age range.
| ICD-10: | O86.04 |
| Short Description: | Sepsis following an obstetrical procedure |
| Long Description: | Sepsis following an obstetrical procedure |
Code Classification
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code O86.04:
Use Additional Code
Use Additional CodeThe “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
- code to identify the sepsis
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code O86.04 are found in the index:
- - Sepsis (generalized) (unspecified organism) - A41.9
- - following
- - obstetrical procedure - O86.04
- - following
Code Edits
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:
- Maternity diagnoses - The Medicare Code Editor detects inconsistencies in maternity cases by checking a patient's age and any diagnosis on the patient's record. The maternity code edits apply to patients age ange is 9–64 years inclusive (e.g., diabetes in pregnancy, antepartum pulmonary complication).
- Diagnoses for females only - The Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, these edits apply to FEMALES only .
Replacement Code
O8604 replaces the following previously assigned ICD-10 code(s):
- O86.0 - Infection of obstetric surgical wound
Information for Patients
After Surgery
Also called: Postoperative care, Recovery from surgery
After any operation, you'll have some side effects. There is usually some pain with surgery. There may also be swelling and soreness around the area that the surgeon cut. Your surgeon can tell you which side effects to expect.
There can also be complications. These are unplanned events linked to the operation. Some complications are infection, too much bleeding, reaction to anesthesia, or accidental injury. Some people have a greater risk of complications because of other medical conditions.
Your surgeon can tell you how you might feel and what you will be able to do - or not do - the first few days, weeks, or months after surgery. Some other questions to ask are
- How long you will be in the hospital
- What kind of supplies, equipment, and help you might need when you go home
- When you can go back to work
- When it is ok to start exercising again
- Are they any other restrictions in your activities
Following your surgeon's advice can help you recover as soon as possible.
Agency for Healthcare Research and Quality
- Bland diet (Medical Encyclopedia)
- Deep breathing after surgery (Medical Encyclopedia)
- Diet - clear liquid (Medical Encyclopedia)
- Diet - full liquid (Medical Encyclopedia)
- Getting your home ready - after the hospital (Medical Encyclopedia)
- Indwelling catheter care (Medical Encyclopedia)
- Post surgical pain treatment - adults (Medical Encyclopedia)
- Self catheterization - female (Medical Encyclopedia)
- Self catheterization - male (Medical Encyclopedia)
- Suprapubic catheter care (Medical Encyclopedia)
- Surgical wound care -- closed (Medical Encyclopedia)
- Surgical wound infection - treatment (Medical Encyclopedia)
- Urinary catheters (Medical Encyclopedia)
- Urine drainage bags (Medical Encyclopedia)
- Using an incentive spirometer (Medical Encyclopedia)
[Learn More]
Sepsis
Sepsis is a serious illness. It happens when your body has an overwhelming immune response to a bacterial infection. The chemicals released into the blood to fight the infection trigger widespread inflammation. This leads to blood clots and leaky blood vessels. They cause poor blood flow, which deprives your body's organs of nutrients and oxygen. In severe cases, one or more organs fail. In the worst cases, blood pressure drops and the heart weakens, leading to septic shock.
Anyone can get sepsis, but the risk is higher in
- People with weakened immune systems
- Infants and children
- Adults 65 and older
- People with chronic illnesses, such as diabetes, AIDS, cancer, and kidney or liver disease
- People suffering from a severe burn or physical trauma
Common symptoms of sepsis are fever, chills, rapid breathing and heart rate, rash, confusion, and disorientation. Doctors diagnose sepsis using a blood test to see if the number of white blood cells is abnormal. They also do lab tests that check for signs of infection.
People with sepsis are usually treated in hospital intensive care units. Doctors try to treat the infection, sustain the vital organs, and prevent a drop in blood pressure. Many patients receive oxygen and intravenous (IV) fluids. Other types of treatment, such as respirators or kidney dialysis, may be necessary. Sometimes, surgery is needed to clear up an infection.
NIH: National Institute of General Medical Sciences
- Blood culture (Medical Encyclopedia)
- Group B streptococcal septicemia of the newborn (Medical Encyclopedia)
- Neonatal sepsis (Medical Encyclopedia)
- Sepsis (Medical Encyclopedia)
- Septic shock (Medical Encyclopedia)
- Septicemia (Medical Encyclopedia)
- Toxic shock syndrome (Medical Encyclopedia)
[Learn More]
Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019