ICD-10 · PDGM grouping
O86 Other puerperal infections
All 17 codes in the O86 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
17
Can lead a claim
17
Cannot lead a claim
0
What CMS assigns to O86
All 17 codes group to MMTA - Other (11), Wound (5) and MMTA - Infectious Disease, Neoplasms, and Blood-Forming Diseases (1). None of the 17 is assigned a comorbidity subgroup. Every code can lead a claim.
Every code in O86
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| O86.0 Infection of obstetric surgical wound | ||||
| O86.00 | Infection of obstetric surgical wound, unspecified | Can lead a claim | C | None |
| O86.01 | Infection of obstetric surgical wound, superficial incisional siteCMS: Infct of obstetric surgical wound, superfic incisional site | Can lead a claim | C | None |
| O86.02 | Infection of obstetric surgical wound, deep incisional site | Can lead a claim | C | None |
| O86.03 | Infection of obstetric surgical wound, organ and space site | Can lead a claim | C | None |
| O86.04 | Sepsis following an obstetrical procedure | Can lead a claim | K | None |
| O86.09 | Infection of obstetric surgical wound, other surgical site | Can lead a claim | C | None |
| O86.1 Other infection of genital tract following delivery | ||||
| O86.11 | Cervicitis following delivery | Can lead a claim | A | None |
| O86.12 | Endometritis following delivery | Can lead a claim | A | None |
| O86.13 | Vaginitis following delivery | Can lead a claim | A | None |
| O86.19 | Other infection of genital tract following delivery | Can lead a claim | A | None |
| O86.2 Urinary tract infection following delivery | ||||
| O86.20 | Urinary tract infection following delivery, unspecified | Can lead a claim | A | None |
| O86.21 | Infection of kidney following delivery | Can lead a claim | A | None |
| O86.22 | Infection of bladder following delivery | Can lead a claim | A | None |
| O86.29 | Other urinary tract infection following delivery | Can lead a claim | A | None |
| O86.4 | Pyrexia of unknown origin following delivery | Can lead a claim | A | None |
| O86.8 Other specified puerperal infections | ||||
| O86.81 | Puerperal septic thrombophlebitis | Can lead a claim | A | None |
| O86.89 | Other specified puerperal infections | Can lead a claim | A | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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