A total of 16 CONCACAF teams entered the competition, but FIFA rejected the entry of Belize due to outstanding debt.
There would be two rounds of play:
| Team 1 | Agg. | Team 2 | 1st leg | 2nd leg |
|---|---|---|---|---|
| Guyana | 0–5 | 0–4 | 0–1 | |
| Cuba | 1–2 | 0–1 | 1–1 | |
| Jamaica | 3–1 | 1–0 | 2–1 | |
| Antigua and Barbuda | 1–4 | 0–1 | 1–3 (a.e.t.) | |
| Costa Rica | 3–1 | 1–1 | 2–0 |
| Guyana | 0–4 | |
|---|---|---|
| Elliot-Allen Faustin Lake Skeene |
| Trinidad and Tobago | 1–0 | |
|---|---|---|
| Corneal |
Trinidad and Tobagoadvanced to the Second Round, 5–0 on aggregate score.
Guatemalaadvanced to the Second Round, 2–1 on aggregate score.
| Jamaica | 1–0 | |
|---|---|---|
| Brooks |
| Puerto Rico | 1–2 | |
|---|---|---|
| de la Campa | Anglin |
Jamaicaadvanced to the Second Round, 3–1 on aggregate score.
| Antigua and Barbuda | 0–1 | |
|---|---|---|
| Rovina |
| Netherlands Antilles | 3–1 (a.e.t.) | |
|---|---|---|
| Rovina Rosina | Edwards |
Netherlands Antillesadvanced to the Second Round, 4–1 on aggregate score.
| Costa Rica | 1–1 | |
|---|---|---|
| Jara | Mendieta |
| Panama | 0–2 | |
|---|---|---|
| Cayasso Medford |
Costa Ricaadvanced to the Second Round, 3–1 on aggregate score.
| Team 1 | Agg. | Team 2 | 1st leg | 2nd leg |
|---|---|---|---|---|
| Netherlands Antilles | 0–6 | 0–1 | 0–5 | |
| Jamaica | 1–5 | 0–0 | 1–5 | |
| Trinidad and Tobago | 1–1 (a) | 0–0 | 1–1 | |
| Costa Rica | w/o | n/a | n/a | |
| Guatemala | 3–3 (a) | 1–0 | 2–3 |
| Netherlands Antilles | 0–1 | |
|---|---|---|
| García |
| El Salvador | 5–0 | |
|---|---|---|
| Coreas Garcia Francisca L. Zapata |
El Salvadorqualified, 6–0 on aggregate score.
| Jamaica | 0–0 | |
|---|---|---|
United Statesqualified, 5–1 on aggregate score.
| Honduras | 1–1 | |
|---|---|---|
| Flores | Charles |
The aggregate score was tied at 1–1, howeverTrinidad and Tobagoqualified on away goals.
| Costa Rica | w/o 1 | |
|---|---|---|
1 The tie was scratched and Costa Rica advanced to the final round as Mexico were disqualified after being suspended for fielding overaged players during the 1988 CONCACAF U-20 Tournament.
| Guatemala | 1–0 | |
|---|---|---|
| B. Pérez |
The aggregate score was tied at 3–3, however Guatemala qualified on away goals.