2021 ICD-10-CM Code O86.20 - Urinary tract infection following delivery, unspecified

Valid for Submission

O86.20 is a billable diagnosis code used to specify a medical diagnosis of urinary tract infection following delivery, unspecified. The code O86.20 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.

The ICD-10-CM code O86.20 might also be used to specify conditions or terms like urinary tract infection following delivery or urinary tract infection following procedure.

The code O86.20 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.

Unspecified diagnosis codes like O86.20 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Code Classification

Pregnancy, childbirth and the puerperium (O00–O99)
- Complications predominantly related to the puerperium (O85-O92)
  - Other puerperal infections (O86)

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 O86.20:

Inclusion Terms

Puerperal urinary tract infection NOS

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 O86.20 are found in the index:

- Infection, infected, infective (opportunistic) - B99.9
- - urinary (tract) - N39.0
  - - puerperal (postpartum) - O86.20

- Puerperal, puerperium (complicated by, complications)
- - infection - O86.4
  - - urinary (asymptomatic) (tract) NEC - O86.20

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 .

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

Urinary tract infection following delivery
Urinary tract infection following procedure

Convert O86.20 to ICD-9 Code

The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code O86.20 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.

646.64 - Gu infection-postpartum (Approximate Flag)

Information for Patients

Postpartum Care

Also called: Post-pregnancy health

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.

Get as much rest as possible. You may find that all you can do is eat, sleep, and care for your baby. And that is perfectly okay. You will have spotting or bleeding, like a menstrual period, off and on for up to six weeks.
You might also have swelling in your legs and feet, feel constipated, have menstrual-like cramping. Even if you are not breastfeeding, you can have milk leaking from your nipples, and your breasts might feel full, tender, or uncomfortable.
Follow your doctor's instructions on how much activity, like climbing stairs or walking, you can do for the next few weeks.
Doctors usually recommend that you abstain from sexual intercourse for four to six weeks after birth.

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.

Dept. of Health and Human Services Office on Women's Health

After vaginal delivery - in the hospital (Medical Encyclopedia)
Losing weight after pregnancy (Medical Encyclopedia)
Questions to ask your doctor about going home with your baby (Medical Encyclopedia)
Questions to ask your doctor about post pregnancy care (Medical Encyclopedia)
Vaginal delivery - discharge (Medical Encyclopedia)

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Urinary Tract Infections

Also called: UTI

The urinary system is the body's drainage system for removing wastes and extra water. It includes two kidneys, two ureters, a bladder, and a urethra. Urinary tract infections (UTIs) are the second most common type of infection in the body.

You may have a UTI if you notice

Pain or burning when you urinate
Fever, tiredness, or shakiness
An urge to urinate often
Pressure in your lower belly
Urine that smells bad or looks cloudy or reddish
Pain in your back or side below the ribs

People of any age or sex can get UTIs. But about four times as many women get UTIs as men. You're also at higher risk if you have diabetes, need a tube to drain your bladder, or have a spinal cord injury.

If you think you have a UTI it is important to see your doctor. Your doctor can tell if you have a UTI with a urine test. Treatment is with antibiotics.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

Asymptomatic bacteriuria (Medical Encyclopedia)
Catheter-associated UTI (Medical Encyclopedia)
Cystitis - acute (Medical Encyclopedia)
Leukocyte esterase urine test (Medical Encyclopedia)
Urinary tract infection - adults (Medical Encyclopedia)
Urinary tract infection - children (Medical Encyclopedia)
Urine - bloody (Medical Encyclopedia)
Urine culture (Medical Encyclopedia)

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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
FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)

ICD-10:	O86.20
Short Description:	Urinary tract infection following delivery, unspecified
Long Description:	Urinary tract infection following delivery, unspecified