Complications predominantly related to the puerperium (O85-O92)
O85Puerperal sepsis
› Postpartum sepsis
› Puerperal peritonitis
› Puerperal pyemia
Use Additional Code: code (B95-B97), to identify infectious agent
Use Additional Code: code (R65.2-) to identify severe sepsis, if applicable
Excludes 1: fever of unknown origin following delivery (O86.4)
› obstetric pyemic and septic embolism (O88.3-)
› puerperal septic thrombophlebitis (O86.81)
Excludes 2: genital tract infection following delivery (O86.1-)
› sepsis during labor (O75.3)
› urinary tract infection following delivery (O86.2-)
O86Other puerperal infections
Use Additional Code: code (B95-B97), to identify infectious agent
Excludes 2: infection during labor (O75.3)
› obstetrical tetanus (A34)
O86.0Infection of obstetric surgical wound
› Infected cesarean delivery wound following delivery
› Infected perineal repair following delivery
Excludes 1: complications of procedures, not elsewhere classified (T81.4-)
› postprocedural fever NOS (R50.82)
› postprocedural retroperitoneal abscess (K68.11)
O86.00Infection of obstetric surgical wound, unspecified
O86.01Infection of obstetric surgical wound, superficial incisional site
› Subcutaneous abscess following an obstetrical procedure
› Stitch abscess following an obstetrical procedure
O86.02Infection of obstetric surgical wound, deep incisional site
› Intramuscular abscess following an obstetrical procedure
› Sub-fascial abscess following an obstetrical procedure
O86.03Infection of obstetric surgical wound, organ and space site
› Intraabdominal abscess following an obstetrical procedure
› Subphrenic abscess following an obstetrical procedure
O86.04Sepsis following an obstetrical procedure
Use Additional Code: code to identify the sepsis
O86.09Infection of obstetric surgical wound, other surgical site
O86.1Other infection of genital tract following delivery
O86.11Cervicitis following delivery
O86.12Endometritis following delivery
O86.13Vaginitis following delivery
O86.19Other infection of genital tract following delivery
O86.2Urinary tract infection following delivery
O86.20Urinary tract infection following delivery, unspecified
› Puerperal urinary tract infection NOS
O86.21Infection of kidney following delivery
O86.22Infection of bladder following delivery
› Infection of urethra following delivery
O86.29Other urinary tract infection following delivery
O86.4Pyrexia of unknown origin following delivery
› Puerperal infection NOS following delivery
› Puerperal pyrexia NOS following delivery
Excludes 2: pyrexia during labor (O75.2)
O86.8Other specified puerperal infections
O86.81Puerperal septic thrombophlebitis
O86.89Other specified puerperal infections
O87Venous complications and hemorrhoids in the puerperium
Includes: venous complications in labor, delivery and the puerperium
Excludes 2: obstetric embolism (O88.-)
› puerperal septic thrombophlebitis (O86.81)
› venous complications in pregnancy (O22.-)
O87.0Superficial thrombophlebitis in the puerperium
› Puerperal phlebitis NOS
› Puerperal thrombosis NOS
Use Additional Code: code, if applicable, to identify the superficial vein thrombosis, such as thrombosis of superficial vessels of lower extremities (I80.0-)
O87.1Deep phlebothrombosis in the puerperium
› Deep vein thrombosis, postpartum
› Pelvic thrombophlebitis, postpartum
Use Additional Code: code to identify the deep vein thrombosis (I82.4-, I82.5-, I82.62-, I82.72-)
Use Additional Code: code, if applicable, for associated long-term (current) use of anticoagulants (Z79.01)
O87.2Hemorrhoids in the puerperium
O87.3Cerebral venous thrombosis in the puerperium
› Cerebrovenous sinus thrombosis in the puerperium
O87.4Varicose veins of lower extremity in the puerperium
O87.8Other venous complications in the puerperium
› Genital varices in the puerperium
O87.9Venous complication in the puerperium, unspecified
› Puerperal phlebopathy NOS
O88Obstetric embolism
Excludes 1: embolism complicating abortion NOS (O03.2)
› embolism complicating ectopic or molar pregnancy (O08.2)
› embolism complicating failed attempted abortion (O07.2)
› embolism complicating induced abortion (O04.7)
› embolism complicating spontaneous abortion (O03.2, O03.7)
O88.0Obstetric air embolism
O88.01Obstetric air embolism in pregnancy
O88.011Air embolism in pregnancy, first trimester
O88.012Air embolism in pregnancy, second trimester
O88.013Air embolism in pregnancy, third trimester
O88.019Air embolism in pregnancy, unspecified trimester
O88.02Air embolism in childbirth
O88.03Air embolism in the puerperium
O88.1Amniotic fluid embolism
› Anaphylactoid syndrome in pregnancy
O88.11Amniotic fluid embolism in pregnancy
O88.111Amniotic fluid embolism in pregnancy, first trimester
O88.112Amniotic fluid embolism in pregnancy, second trimester
O88.113Amniotic fluid embolism in pregnancy, third trimester
O88.119Amniotic fluid embolism in pregnancy, unspecified trimester
O88.12Amniotic fluid embolism in childbirth
O88.13Amniotic fluid embolism in the puerperium
O88.2Obstetric thromboembolism
O88.21Thromboembolism in pregnancy
› Obstetric (pulmonary) embolism NOS
O88.211Thromboembolism in pregnancy, first trimester
O88.212Thromboembolism in pregnancy, second trimester
O88.213Thromboembolism in pregnancy, third trimester
O88.219Thromboembolism in pregnancy, unspecified trimester
O88.22Thromboembolism in childbirth
O88.23Thromboembolism in the puerperium
› Puerperal (pulmonary) embolism NOS
O88.3Obstetric pyemic and septic embolism
O88.31Pyemic and septic embolism in pregnancy
O88.311Pyemic and septic embolism in pregnancy, first trimester
O88.312Pyemic and septic embolism in pregnancy, second trimester
O88.313Pyemic and septic embolism in pregnancy, third trimester
O88.319Pyemic and septic embolism in pregnancy, unspecified trimester
O88.32Pyemic and septic embolism in childbirth
O88.33Pyemic and septic embolism in the puerperium
O88.8Other obstetric embolism
› Obstetric fat embolism
O88.81Other embolism in pregnancy
O88.811Other embolism in pregnancy, first trimester
O88.812Other embolism in pregnancy, second trimester
O88.813Other embolism in pregnancy, third trimester
O88.819Other embolism in pregnancy, unspecified trimester
O88.82Other embolism in childbirth
O88.83Other embolism in the puerperium
O89Complications of anesthesia during the puerperium
Includes: maternal complications arising from the administration of a general, regional or local anesthetic, analgesic or other sedation during the puerperium
Use Additional Code: code, if applicable, to identify specific complication
O89.0Pulmonary complications of anesthesia during the puerperium
O89.01Aspiration pneumonitis due to anesthesia during the puerperium
› Inhalation of stomach contents or secretions NOS due to anesthesia during the puerperium
› Mendelson's syndrome due to anesthesia during the puerperium
O89.09Other pulmonary complications of anesthesia during the puerperium
O89.1Cardiac complications of anesthesia during the puerperium
O89.2Central nervous system complications of anesthesia during the puerperium
O89.3Toxic reaction to local anesthesia during the puerperium
O89.4Spinal and epidural anesthesia-induced headache during the puerperium
O89.5Other complications of spinal and epidural anesthesia during the puerperium
O89.6Failed or difficult intubation for anesthesia during the puerperium
O89.8Other complications of anesthesia during the puerperium
O89.9Complication of anesthesia during the puerperium, unspecified
O90Complications of the puerperium, not elsewhere classified
O90.0Disruption of cesarean delivery wound
› Dehiscence of cesarean delivery wound
Excludes 1: rupture of uterus (spontaneous) before onset of labor (O71.0-)
› rupture of uterus during labor (O71.1)
O90.1Disruption of perineal obstetric wound
› Disruption of wound of episiotomy
› Disruption of wound of perineal laceration
› Secondary perineal tear
O90.2Hematoma of obstetric wound
O90.3Peripartum cardiomyopathy
› Conditions in I42.- arising during pregnancy and the puerperium
Excludes 1: pre-existing heart disease complicating pregnancy and the puerperium (O99.4-)
O90.4Postpartum acute kidney failure
Excludes 1: non-anuria and oliguria (R34)
O90.41Hepatorenal syndrome following labor and delivery
O90.49Other postpartum acute kidney failure
› Postpartum acute kidney failure
› Puerperal anuria
› Puerperal oliguria
O90.5Postpartum thyroiditis
O90.6Postpartum mood disturbance
› Postpartum blues
› Postpartum dysphoria
› Postpartum sadness
Excludes 1: postpartum depression (F53.0)
› puerperal psychosis (F53.1)
O90.8Other complications of the puerperium, not elsewhere classified
O90.81Anemia of the puerperium
› Postpartum anemia NOS
Excludes 1: pre-existing anemia complicating the puerperium (O99.03)
O90.89Other complications of the puerperium, not elsewhere classified
› Placental polyp
O90.9Complication of the puerperium, unspecified
O91Infections of breast associated with pregnancy, the puerperium and lactation
Use Additional Code: code to identify infection
O91.0Infection of nipple associated with pregnancy, the puerperium and lactation
O91.01Infection of nipple associated with pregnancy
› Gestational abscess of nipple
O91.011Infection of nipple associated with pregnancy, first trimester
O91.012Infection of nipple associated with pregnancy, second trimester
O91.013Infection of nipple associated with pregnancy, third trimester
O91.019Infection of nipple associated with pregnancy, unspecified trimester
O91.02Infection of nipple associated with the puerperium
› Puerperal abscess of nipple
O91.03Infection of nipple associated with lactation
› Abscess of nipple associated with lactation
O91.1Abscess of breast associated with pregnancy, the puerperium and lactation
O91.11Abscess of breast associated with pregnancy
› Gestational mammary abscess
› Gestational purulent mastitis
› Gestational subareolar abscess
O91.111Abscess of breast associated with pregnancy, first trimester
O91.112Abscess of breast associated with pregnancy, second trimester
O91.113Abscess of breast associated with pregnancy, third trimester
O91.119Abscess of breast associated with pregnancy, unspecified trimester
O91.12Abscess of breast associated with the puerperium
› Puerperal mammary abscess
› Puerperal purulent mastitis
› Puerperal subareolar abscess
O91.13Abscess of breast associated with lactation
› Mammary abscess associated with lactation
› Purulent mastitis associated with lactation
› Subareolar abscess associated with lactation
O91.2Nonpurulent mastitis associated with pregnancy, the puerperium and lactation
O91.21Nonpurulent mastitis associated with pregnancy
› Gestational interstitial mastitis
› Gestational lymphangitis of breast
› Gestational mastitis NOS
› Gestational parenchymatous mastitis
O91.211Nonpurulent mastitis associated with pregnancy, first trimester
O91.212Nonpurulent mastitis associated with pregnancy, second trimester
O91.213Nonpurulent mastitis associated with pregnancy, third trimester
O91.219Nonpurulent mastitis associated with pregnancy, unspecified trimester
O91.22Nonpurulent mastitis associated with the puerperium
› Puerperal interstitial mastitis
› Puerperal lymphangitis of breast
› Puerperal mastitis NOS
› Puerperal parenchymatous mastitis
O91.23Nonpurulent mastitis associated with lactation
› Interstitial mastitis associated with lactation
› Lymphangitis of breast associated with lactation
› Mastitis NOS associated with lactation
› Parenchymatous mastitis associated with lactation
O92Other disorders of breast and disorders of lactation associated with pregnancy and the puerperium
O92.0Retracted nipple associated with pregnancy, the puerperium, and lactation
O92.01Retracted nipple associated with pregnancy
O92.011Retracted nipple associated with pregnancy, first trimester
O92.012Retracted nipple associated with pregnancy, second trimester
O92.013Retracted nipple associated with pregnancy, third trimester
O92.019Retracted nipple associated with pregnancy, unspecified trimester
O92.02Retracted nipple associated with the puerperium
O92.03Retracted nipple associated with lactation
O92.1Cracked nipple associated with pregnancy, the puerperium, and lactation
› Fissure of nipple, gestational or puerperal
O92.11Cracked nipple associated with pregnancy
O92.111Cracked nipple associated with pregnancy, first trimester
O92.112Cracked nipple associated with pregnancy, second trimester
O92.113Cracked nipple associated with pregnancy, third trimester
O92.119Cracked nipple associated with pregnancy, unspecified trimester
O92.12Cracked nipple associated with the puerperium
O92.13Cracked nipple associated with lactation
O92.2Other and unspecified disorders of breast associated with pregnancy and the puerperium
O92.20Unspecified disorder of breast associated with pregnancy and the puerperium
O92.29Other disorders of breast associated with pregnancy and the puerperium
O92.3Agalactia
› Primary agalactia
Excludes 1: Elective agalactia (O92.5)
› Secondary agalactia (O92.5)
› Therapeutic agalactia (O92.5)
O92.4Hypogalactia
O92.5Suppressed lactation
› Elective agalactia
› Secondary agalactia
› Therapeutic agalactia
Excludes 1: primary agalactia (O92.3)
O92.6Galactorrhea
O92.7Other and unspecified disorders of lactation
O92.70Unspecified disorders of lactation
O92.79Other disorders of lactation
› Puerperal galactocele