2017/18 ICD-10-CM Diagnosis Code O98.7

Human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium

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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 to identify the type of HIV disease:
  • Acquired immune deficiency syndrome (AIDS) (
    ICD-10-CM Diagnosis Code B20

    Human immunodeficiency virus [HIV] disease

      2016 2017 2018 Billable/Specific Code
    Code First
    • Human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium, if applicable (O98.7-)
    Includes
    • acquired immune deficiency syndrome [AIDS]
    • AIDS-related complex [ARC]
    • HIV infection, symptomatic
    Type 1 Excludes
    • asymptomatic human immunodeficiency virus [HIV] infection status (Z21)
    • exposure to HIV virus (Z20.6)
    • inconclusive serologic evidence of HIV (R75)
    Use Additional
    • code(s) to identify all manifestations of HIV infection
    B20
    )
  • Asymptomatic HIV status (
    ICD-10-CM Diagnosis Code Z21

    Asymptomatic human immunodeficiency virus [HIV] infection status

      2016 2017 2018 Billable/Specific Code Questionable As Admission Dx
    Applicable To
    • HIV positive NOS
    Code First
    • Human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium, if applicable (O98.7-)
    Type 1 Excludes
    • acquired immunodeficiency syndrome (B20)
    • contact with human immunodeficiency virus [HIV] (Z20.6)
    • exposure to human immunodeficiency virus [HIV] (Z20.6)
    • human immunodeficiency virus [HIV] disease (B20)
    • inconclusive laboratory evidence of human immunodeficiency virus [HIV] (R75)
    Z21
    )
  • HIV positive NOS (
    ICD-10-CM Diagnosis Code Z21

    Asymptomatic human immunodeficiency virus [HIV] infection status

      2016 2017 2018 Billable/Specific Code Questionable As Admission Dx
    Applicable To
    • HIV positive NOS
    Code First
    • Human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium, if applicable (O98.7-)
    Type 1 Excludes
    • acquired immunodeficiency syndrome (B20)
    • contact with human immunodeficiency virus [HIV] (Z20.6)
    • exposure to human immunodeficiency virus [HIV] (Z20.6)
    • human immunodeficiency virus [HIV] disease (B20)
    • inconclusive laboratory evidence of human immunodeficiency virus [HIV] (R75)
    Z21
    )
  • Symptomatic HIV disease (
    ICD-10-CM Diagnosis Code B20

    Human immunodeficiency virus [HIV] disease

      2016 2017 2018 Billable/Specific Code
    Code First
    • Human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium, if applicable (O98.7-)
    Includes
    • acquired immune deficiency syndrome [AIDS]
    • AIDS-related complex [ARC]
    • HIV infection, symptomatic
    Type 1 Excludes
    • asymptomatic human immunodeficiency virus [HIV] infection status (Z21)
    • exposure to HIV virus (Z20.6)
    • inconclusive serologic evidence of HIV (R75)
    Use Additional
    • code(s) to identify all manifestations of HIV infection
    B20
    )
The following code(s) above O98.7 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 O98.7:
  • 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
  • O98
    ICD-10-CM Diagnosis Code O98

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

      2016 2017 2018 Non-Billable/Non-Specific Code
    Includes
    • the listed conditions when complicating the pregnant state, when aggravated by the pregnancy, or as a reason for obstetric care
    Type 2 Excludes
    • 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)
    Use Additional
    • code (Chapter 1), to identify specific infectious or parasitic disease
    Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium
Code History
Code annotations containing back-references to O98.7:
ICD-10-CM Codes Adjacent To O98.7
O98.52 Other viral diseases complicating childbirth
O98.53 Other viral diseases complicating the puerperium
O98.6 Protozoal diseases complicating pregnancy, childbirth and the puerperium
O98.61 Protozoal diseases complicating pregnancy
O98.611 …… first trimester
O98.612 …… second trimester
O98.613 …… third trimester
O98.619 …… unspecified trimester
O98.62 Protozoal diseases complicating childbirth
O98.63 Protozoal diseases complicating the puerperium
O98.7 Human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium
O98.71 Human immunodeficiency virus [HIV] disease complicating pregnancy
O98.711 …… first trimester
O98.712 …… second trimester
O98.713 …… third trimester
O98.719 …… unspecified trimester
O98.72 Human immunodeficiency virus [HIV] disease complicating childbirth
O98.73 Human immunodeficiency virus [HIV] disease complicating the puerperium
O98.8 Other maternal infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium
O98.81 Other maternal infectious and parasitic diseases complicating pregnancy
O98.811 …… first trimester

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