ICD-10 O86.01
Billable / SpecificInfection of obstetric surgical wound, superficial incisional site
About ICD-10-CM O86.01
ICD-10-CM code O86.01 represents Infection of obstetric surgical wound, superficial incisional site. This is a billable/specific code in the Pregnancy, Childbirth, and Puerperium chapter (block O86). The 2026 edition of ICD-10-CM O86.01 became effective on October 1, 2025.
Coding Tips for O86.01
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
Most O codes require a 7th character indicating trimester (1 = first, 2 = second, 3 = third). Some require fetus identification character. Code O09 (supervision of high-risk pregnancy) is required as a secondary code when applicable.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under O86.01. Per CMS ICD-10-CM Tabular 2026.
- Subcutaneous abscess following an obstetrical procedure
- Stitch abscess following an obstetrical procedure
Medicare LCD Coverage for O86.01
Local Coverage Determinations (LCDs) from CMS MACs that list O86.01 as a covered diagnosis.
Showing top 9. Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing O86.01.
1 Medicare
CPT Codes Commonly Billed with O86.01
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To O86.01
Other codes in section O85-O92 (Complications predominantly related to the puerperium).
ICD-10 O86.01, Billing FAQ
Is ICD-10 code O86.01 billable? +
Yes, O86.01 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to O86.01? +
ICD-10 O86.01 includes: Subcutaneous abscess following an obstetrical procedure; Stitch abscess following an obstetrical procedure.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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