2021 ICD-10-CM Code O86.4
Pyrexia of unknown origin following delivery
Valid for Submission
O86.4 is a billable diagnosis code used to specify a medical diagnosis of pyrexia of unknown origin following delivery. The code O86.4 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 O86.4 might also be used to specify conditions or terms like mycoplasmal postpartum fever, postnatal infection, postpartum fever, puerperal pyrexia, puerperal pyrexia of unknown origin , puerperal pyrexia of unknown origin - delivered with postnatal complication, etc.
The code O86.4 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: | O86.4 |
Short Description: | Pyrexia of unknown origin following delivery |
Long Description: | Pyrexia of unknown origin following delivery |
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 O86.4:
Inclusion Terms
Inclusion TermsThese terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Puerperal infection NOS following delivery
- Puerperal pyrexia NOS following delivery
Type 2 Excludes
Type 2 ExcludesA type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
- pyrexia during labor O75.2
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 O86.4 are found in the index:
- - Fever (inanition) (of unknown origin) (persistent) (with chills) (with rigor) - R50.9
- - following delivery - O86.4
- - puerperal - O86.4
- - Puerperal, puerperium (complicated by, complications)
- - fever (of unknown origin) - O86.4
- - infection - O86.4
- - pyrexia (of unknown origin) - O86.4
- - Pyrexia (of unknown origin) - R50.9
- - puerperal - O86.4
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:
- Mycoplasmal postpartum fever
- Postnatal infection
- Postpartum fever
- Puerperal pyrexia
- Puerperal pyrexia of unknown origin
- Puerperal pyrexia of unknown origin - delivered with postnatal complication
- Puerperal pyrexia of unknown origin with postnatal complication
Convert O86.4 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code O86.4 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.
Information for Patients
Fever
Also called: Pyrexia
A fever is a body temperature that is higher than normal. A normal temperature can vary from person to person, but it is usually around 98.6 F. A fever is not a disease. It is usually a sign that your body is trying to fight an illness or infection.
Infections cause most fevers. You get a fever because your body is trying to kill the virus or bacteria that caused the infection. Most of those bacteria and viruses do well when your body is at your normal temperature. But if you have a fever, it is harder for them to survive. Fever also activates your body's immune system.
Other causes of fevers include
- Medicines, including some antibiotics, blood pressure medicines, and anti-seizure medicines
- Heat illness
- Cancers
- Autoimmune diseases
- Some childhood immunizations
Treatment depends on the cause of your fever. If the fever is very high, your health care provider may recommend taking an over-the-counter medicine such as acetaminophen or ibuprofen. Adults can also take aspirin, but children with fevers should not take aspirin. It is also important to drink enough liquids, to prevent dehydration.
- Familial Mediterranean fever (Medical Encyclopedia)
- Fever (Medical Encyclopedia)
- When your baby or infant has a fever (Medical Encyclopedia)
[Learn More in MedlinePlus]
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)
[Learn More in MedlinePlus]
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)