MCMCB Pro
O98.711

O98.711Human immunodeficiency virus [HIV] disease complicating pregnancy, first trimester

Billable / specific codeICD-10-CM

O98.711 is a billable, specific ICD-10-CM code for human immunodeficiency virus [hiv] disease complicating pregnancy, first trimester. It is valid for submission on a claim.

Risk adjustment

O98.711 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

O98.711 is named in 12 Medicare coverage policies 12 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A58710Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
  • A58710Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
  • A58710Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
  • A58720Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

Related codes at this level

Codes that share O98.71. If O98.711 is not quite right, the correct code is usually one of these.

Questions about O98.711

Is O98.711 a billable ICD-10-CM code?
Yes. O98.711 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does O98.711 sit in the tabular list?
Pregnancy, childbirth and the puerperium (O00-O9A), in the block Other obstetric conditions, not elsewhere classified (O94-O9A).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.