O98.7

O98.7: Human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium

Non-billable headerICD-10-CM

O98.7 is a non-billable header ICD-10-CM code for human immunodeficiency virus [hiv] disease complicating pregnancy, childbirth and the puerperium. It cannot be billed on its own: choose one of the more specific child codes below.

Use additional code

Add a secondary code to capture the detail described below.

code to identify the type of HIV disease:
Acquired immune deficiency syndrome (AIDS) (B20)
Asymptomatic HIV status (Z21)
HIV positive NOS (Z21)
Symptomatic HIV disease (B20)

Excludes2 inherited from the categories above O98.7

Not part of this code, but both may be coded when both are present.

Written on O98: Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium

herpes gestationis (O26.4-)
infectious carrier state (O99.82-, O99.83-)
obstetrical tetanus (A34)
puerperal infection (O86.-)
puerperal sepsis (O85)
when the reason for maternal care is that the disease is known or suspected to have affected the fetus (O35-O36)

Other codes that can never be billed with O98.7

Their own Excludes1 notes name this code, so the conflict is not listed above.

O98.5Other viral diseases complicating pregnancy, childbirth and the puerperium

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead O98.7

3 child codes. Green means billable.