2027 ICD-10-CM Diagnosis Code O86.19Other infection of genital tract following delivery
ICD-10-CM Codes›O00-O9A›O85-O92›O86
- Billable — Valid for Submission
- CC — Complication or Comorbidity
- Not Chronic
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 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 769, 776. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 263 closely related codes. 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
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for O86.19.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Genital tract infection in puerperium
- Postpartum infection of vulva
- Puerperal salpingitis
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to O86.19: its own notes plus those printed at O86, block O85-O92, and Chapter 15. A note printed at a category, block or chapter applies to every code under it.
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- supervision of normal pregnancy (Z34.-)
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
Notes
General instructions on how these codes are used.
- CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
- Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
- Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
- 1st trimester- less than 14 weeks 0 days
- 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
- 3rd trimester- 28 weeks 0 days until delivery
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name O86.19, its category, or a range that includes it.
Excludes1 2
These codes carry an Excludes1 note naming O86.19: they are not reported together with it, unless the two conditions are unrelated.
- Block N70-N77 Inflammatory diseases of female pelvic organspregnancy, childbirth and the puerperium (O23.-, O75.3, O85, O86.-) names O86.-, which includes this code
- N71 Inflammatory disease of uterus, except cervixinfection of uterus following delivery (O85, O86.-) names O86.-, which includes this code
Excludes2 4
These codes carry an Excludes2 note naming O86.19: its condition is not part of those codes, and both may be reported when the patient has both.
- O75 Other complications of labor and delivery, not elsewhere classifiedpuerperal (postpartum) infection (O86.-) names O86.-, which includes this code
- O85 Puerperal sepsisgenital tract infection following delivery (O86.1-) names O86.1-, which includes this code
- O98 Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperiumpuerperal infection (O86.-) names O86.-, which includes this code
- O99.8 Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Puerperal, puerperium (complicated by, complications)
Bartholin's gland O86.19
genital organ NEC O86.19
adnexitis O86.19
tubo-ovarian O86.19
genital tract NEC O86.19
metrosalpingitis O86.19
perimetrosalpingitis O86.19
pyosalpingitis O86.19
salpingo-ovaritis O86.19
vulvitis O86.19
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
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.
Code HistoryHistory
Questions About O86.19Overview
What is the ICD-10 code for other infection of genital tract following delivery?
The ICD-10-CM code for other infection of genital tract following delivery is O86.19 (sometimes written as O8619). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
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, 2026 through September 30, 2027.
What MS-DRG does O86.19 group to?
When other infection of genital tract following delivery is the principal diagnosis on an inpatient stay, it groups to MS-DRG 769, 776, with relative weights from 0.6718 to 1.6666 depending on complications. Higher weights mean higher Medicare reimbursement.
Is O86.19 a CC or MCC?
CMS lists O86.19 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 263 closely related codes in its exclusion list.
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.
