2026 ICD-10-CM Diagnosis Code O86.19Other infection of genital tract following delivery

ICD-10-CM Codes›O00-O9A›O85-O92›O86

ICD-10-CM O86.19
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

O86.19 is a billable ICD-10-CM diagnosis code for other infection of genital tract following delivery. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is restricted by the Medicare Code Editor to maternity cases (age 9 through 64). Coders also document this condition as genital tract infection in puerperium. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Complications specified during the puerperium and Inflammatory diseases of female pelvic organs.

Code Identity

ICD-10-CM Code
O86.19
Billable Status
Yes — Valid for Submission
Code Describes
Other infection of genital tract following delivery
Short Description
Other infection of genital tract following delivery
Same as the full description in the CMS dataset.
Parent Code
O86.1
Other infection of genital tract following delivery

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO85-O92Complications predominantly related to the puerperium
CategoryO86Other puerperal infections
This CodeO86.19Other infection of genital tract following delivery

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O86.19.

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).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Genital tract infection in puerperium
  • Postpartum infection of vulva
  • Puerperal salpingitis

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Puerperal, puerperium(complicated by, complications)
      • abscess
        • Bartholin's gland
    • Puerperal, puerperium(complicated by, complications)
      • abscess
        • genital organ NEC
    • Puerperal, puerperium(complicated by, complications)
      • adnexitis
    • Puerperal, puerperium(complicated by, complications)
      • disease
        • tubo-ovarian
    • Puerperal, puerperium(complicated by, complications)
      • infection
        • genital tract NEC
    • Puerperal, puerperium(complicated by, complications)
      • metrosalpingitis
    • Puerperal, puerperium(complicated by, complications)
      • perimetrosalpingitis
    • Puerperal, puerperium(complicated by, complications)
      • pyosalpingitis
    • Puerperal, puerperium(complicated by, complications)
      • salpingo-ovaritis
    • Puerperal, puerperium(complicated by, complications)
      • vulvitis
    • Salpingo-oophoritis(catarrhal) (purulent) (ruptured) (septic) (suppurative)
      • puerperal
    • Vulvitis(acute) (allergic) (atrophic) (hypertrophic) (intertriginous) (senile)
      • puerperal (postpartum)

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR PRG027
Complications specified during the puerperium
Default principal diagnosis: inpatient Yes · outpatient Yes
CCSR GEN018
Inflammatory diseases of female pelvic organs
Default principal diagnosis: inpatient No · outpatient No

Patient EducationClinical

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.

The full article covers:

  • How can infections affect your pregnancy?
  • What infections can be harmful during pregnancy?
  • What are the symptoms of an infection during pregnancy?
  • What are the treatments for infections during pregnancy?
  • Can infections during pregnancy be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert O86.19 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
646.64 Gu infection-postpartum
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About O86.19Overview

Is O86.19 (Other infection of genital tract following delivery) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other infection of genital tract following delivery on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Who can O86.19 be reported for?

The Medicare Code Editor checks other infection of genital tract following delivery against patient demographics: this code is intended for maternity cases (age 9 through 64). Claims outside these limits are flagged as inconsistent.

What is the ICD-9 equivalent of O86.19?

Under the General Equivalence Mappings, other infection of genital tract following delivery converts to ICD-9-CM 646.64 (gu infection-postpartum). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.