O85
Billable

Puerperal sepsis

Billable / Specific Code

What is Puerperal sepsis?

ICD-10-CM O85 is the diagnosis code for Puerperal sepsis. This code falls under the section "Complications predominantly related to the puerperium" within Chapter 15 — Pregnancy, childbirth and the puerperium (O00-O9A). It is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

💡 Inclusions
⛔ Excludes1
â„šī¸ Excludes2

Coding Guidelines for O85

✅ This Code Includes

  • Postpartum sepsis
  • Puerperal peritonitis
  • Puerperal pyemia

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as O85. They are mutually exclusive:

  • fever of unknown origin following delivery (O86.4)
  • obstetric pyemic and septic embolism (O88.3-)
  • puerperal septic thrombophlebitis (O86.81)

â„šī¸ Type 2 Excludes (Code separately if applicable)

The following conditions are not included in O85. If the patient has both, code each condition separately:

  • genital tract infection following delivery (O86.1-)
  • sepsis during labor (O75.3)
  • urinary tract infection following delivery (O86.2-)

ICD-10-CM Code Hierarchy

Understanding where O85 sits in the ICD-10-CM classification helps ensure proper coding:

Related Codes

Frequently Asked Questions

Is O85 a billable ICD-10-CM code?

Yes, O85 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What does O85 mean?

O85 is the ICD-10-CM diagnosis code for "Puerperal sepsis". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is O85 in?

O85 is located in Section O85-O92 — "Complications predominantly related to the puerperium" within Chapter 15 of the ICD-10-CM Tabular List.

When should I use O85?

Use O85 when the patients documented diagnosis matches "Puerperal sepsis" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Puerperal sepsis?

The ICD-10-CM code for Puerperal sepsis is O85.

Can O85 be used for primary diagnosis?

Yes, O85 can be used as a primary diagnosis code since it is billable and specific.

What chapter is O85 in?

O85 is in Chapter 15 of the ICD-10-CM Tabular List.

What conditions are excluded from O85?

Type 1 Excludes for O85 include: fever of unknown origin following delivery (O86.4); obstetric pyemic and septic embolism (O88.3-); puerperal septic thrombophlebitis (O86.81).

Is O85 valid for 2026?

Yes, O85 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousO82Encounter for cesarean delivery without indicationNext →O86Other puerperal infections
Code Details
O85
Puerperal sepsis
Billable / Specific Code
15 — Pregnancy, childbirth and the puerperium (O00-O9A)
O85-O92 — Complications predominantly related to the puerperium
2026 ICD-10-CM