Question 1

Is O85 a billable ICD-10 code?

Accepted Answer

Yes, O85 is a valid billable ICD-10-CM code for puerperal sepsis. It can be used for medical billing and reimbursement purposes.

Question 2

What does ICD-10 code O85 mean?

Accepted Answer

ICD-10-CM code O85 represents Puerperal sepsis. This code is part of the International Classification of Diseases, 10th Revision, Clinical Modification used for medical coding and billing in the United States.

Question 3

When was ICD-10 code O85 introduced?

Accepted Answer

Code O85 has been part of ICD-10-CM since 2016, when the coding system was mandated for use in the United States. This code was included in the original US implementation.

Question 4

What is the parent category for ICD-10 code O85?

Accepted Answer

The parent category for O85 is section:O85-O92 (Complications predominantly related to the puerperium (O85-O92)). This hierarchical classification helps organize related diagnoses for more accurate coding.

Question 5

What conditions are excluded from O85?

Accepted Answer

Code O85 has Type 1 Excludes (mutually exclusive conditions) including: fever of unknown origin following delivery (O86.4); obstetric pyemic and septic embolism (O88.3-); puerperal septic thrombophlebitis (O86.81). These conditions cannot be coded together with O85 as they represent different diagnoses.

Question 6

Should I use additional codes with O85?

Accepted Answer

Yes, when coding O85, consider adding codes for: code (B95-B97), to identify infectious agent; code (R65.2-) to identify severe sepsis, if applicable. Additional codes provide more specificity about the patient's condition.

Question 7

What age group is ICD-10 code O85 intended for?

Accepted Answer

Code O85 is intended for maternity patients (ages 9-64). Using this code for patients outside the childbearing age range may trigger an age conflict edit. This is a Medicare Code Editor (MCE) validation rule.

O852026

Excludes14Not coded together

Excludes210Not included here

Use Additional Code3Add code for detail

Notes9Additional information

Also Known As10Alternative terms

Medicare Code Editor Rules1CMS coding restrictions