2017/18 ICD-10-CM Diagnosis Code O98

Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium

Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code (Chapter 1), to identify specific infectious or parasitic disease
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (O98) and the excluded code together.
  • herpes gestationis (
    ICD-10-CM Diagnosis Code O26.4

    Herpes gestationis

      2016 2017 2018 Non-Billable/Non-Specific Code
    O26.4-
    )
  • infectious carrier state (
    ICD-10-CM Diagnosis Code O99.82

    Streptococcus B carrier state complicating pregnancy, childbirth and the puerperium

      2016 2017 2018 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • Carrier of streptococcus group B (GBS) in a nonpregnant woman (Z22.330)
    O99.82-
    ,
    ICD-10-CM Diagnosis Code O99.83

    Other infection carrier state complicating pregnancy, childbirth and the puerperium

      2016 2017 2018 Non-Billable/Non-Specific Code
    Use Additional
    • code to identify the carrier state (Z22.-)
    O99.83-
    )
  • obstetrical tetanus (
    ICD-10-CM Diagnosis Code A34

    Obstetrical tetanus

      2016 2017 2018 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    A34
    )
  • puerperal infection (
    ICD-10-CM Diagnosis Code O86
    • O86 Other puerperal infections
      • O86.0 Infection of obstetric surgical wound
      • O86.1 Other infection of genital tract following de...
        • O86.11 Cervicitis following delivery
        • O86.12 Endometritis following delivery
        • O86.13 Vaginitis following delivery
        • O86.19 Other infection of genital tract following de...
      • O86.2 Urinary tract infection following delivery
        • O86.20 Urinary tract infection following delivery, u...
        • O86.21 Infection of kidney following delivery
        • O86.22 Infection of bladder following delivery
        • O86.29 Other urinary tract infection following deliv...
      • O86.4 Pyrexia of unknown origin following delivery
      • O86.8 Other specified puerperal infections
        • O86.81 Puerperal septic thrombophlebitis
        • O86.89 Other specified puerperal infections
    O86.-
    )
  • puerperal sepsis (
    ICD-10-CM Diagnosis Code O85

    Puerperal sepsis

      2016 2017 2018 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    Applicable To
    • Postpartum sepsis
    • Puerperal peritonitis
    • Puerperal pyemia
    Type 1 Excludes
    • fever of unknown origin following delivery (O86.4)
    • genital tract infection following delivery (O86.1-)
    • obstetric pyemic and septic embolism (O88.3-)
    • puerperal septic thrombophlebitis (O86.81)
    • urinary tract infection following delivery (O86.2-)
    Type 2 Excludes
    • sepsis during labor (O75.3)
    Use Additional
    • code (B95-B97), to identify infectious agent
    O85
    )
  • when the reason for maternal care is that the disease is known or suspected to have affected the fetus (
    ICD-10-CM Diagnosis Code O35

    Maternal care for known or suspected fetal abnormality and damage

      2016 2017 2018 Non-Billable/Non-Specific Code
    Code Also
    • any associated maternal condition
    Includes
    • the listed conditions in the fetus as a reason for hospitalization or other obstetric care to the mother, or for termination of pregnancy
    Type 1 Excludes
    • encounter for suspected maternal and fetal conditions ruled out (Z03.7-)
    O35
    -
    ICD-10-CM Diagnosis Code O36

    Maternal care for other fetal problems

      2016 2017 2018 Non-Billable/Non-Specific Code
    Includes
    • the listed conditions in the fetus as a reason for hospitalization or other obstetric care of the mother, or for termination of pregnancy
    Type 1 Excludes
    • encounter for suspected maternal and fetal conditions ruled out (Z03.7-)
    • placental transfusion syndromes (O43.0-)
    Type 2 Excludes
    • labor and delivery complicated by fetal stress (O77.-)
    O36
    )
Includes
Includes Help
"Includes" further defines, or give examples of, the content of the code or category.
  • the listed conditions when complicating the pregnant state, when aggravated by the pregnancy, or as a reason for obstetric care
The following code(s) above O98 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to O98:
  • O00-O9A
    2018 ICD-10-CM Range O00-O9A

    Pregnancy, childbirth and the puerperium

    Note
    • CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
    • Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
    • Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
    • 1st trimester- less than 14 weeks 0 days
    • 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
    • 3rd trimester- 28 weeks 0 days until delivery
    Type 1 Excludes
    • supervision of normal pregnancy (Z34.-)
    Type 2 Excludes
    • mental and behavioral disorders associated with the puerperium (F53)
    • obstetrical tetanus (A34)
    • postpartum necrosis of pituitary gland (E23.0)
    • puerperal osteomalacia (M83.0)
    Use Additional
    • code from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
    Pregnancy, childbirth and the puerperium
Code History
ICD-10-CM Codes Adjacent To O98
O92.20 Unspecified disorder of breast associated with pregnancy and the puerperium
O92.29 Other disorders of breast associated with pregnancy and the puerperium
O92.3 Agalactia
O92.4 Hypogalactia
O92.5 Suppressed lactation
O92.6 Galactorrhea
O92.7 Other and unspecified disorders of lactation
O92.70 Unspecified disorders of lactation
O92.79 Other disorders of lactation
O94 Sequelae of complication of pregnancy, childbirth, and the puerperium
O98 Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium
O98.0 Tuberculosis complicating pregnancy, childbirth and the puerperium
O98.01 Tuberculosis complicating pregnancy
O98.011 …… first trimester
O98.012 …… second trimester
O98.013 …… third trimester
O98.019 …… unspecified trimester
O98.02 Tuberculosis complicating childbirth
O98.03 Tuberculosis complicating the puerperium
O98.1 Syphilis complicating pregnancy, childbirth and the puerperium
O98.11 Syphilis complicating pregnancy

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.