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O98 ICD-10-CM Code: Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium

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FY 2026 Apr update / Pregnancy, childbirth and the puerperium (O00-O9A) / Other obstetric conditions, not elsewhere classified (O94-O9A)

O98

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

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

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

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
O9Other obstetric conditions, not elsewhere classified (O94-O9A)
O98Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for O98 in this effective period.

Excludes 2

Official
  • herpes gestationis (O26.4-)
  • infectious carrier state (O99.82-, O99.83-)
  • obstetrical tetanus (A34)
  • puerperal infection (O86.-)
  • puerperal sepsis (O85)

Related Child Codes

Official
O98.0Tuberculosis complicating pregnancy, childbirth and the puerperium
O98.1Syphilis complicating pregnancy, childbirth and the puerperium
O98.2Gonorrhea complicating pregnancy, childbirth and the puerperium
O98.3Other infections with a predominantly sexual mode of transmission complicating pregnancy, childbirth and the puerperium
O98.4Viral hepatitis complicating pregnancy, childbirth and the puerperium

Includes

Official
  • the listed conditions when complicating the pregnant state, when aggravated by the pregnancy, or as a reason for obstetric care

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for O98 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for O98 in this effective period.

Use Additional

Official
  • code (Chapter 1), to identify specific infectious or parasitic disease

Code Also

Official

ICD-10-CM does not list Code Also instructions for O98 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

O98 is the ICD-10-CM diagnosis code for maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium. O98 sits in the ICD-10-CM chapter for pregnancy, childbirth and the puerperium (o00-o9a), within the section covering other obstetric conditions, not elsewhere classified (o94-o9a).

Header codes like O98 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at O98's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for O98 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • the listed conditions when complicating the pregnant state, when aggravated by the pregnancy, or as a reason for obstetric care

Excludes 2, Not included here, may code separately

  • 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

  • code (Chapter 1), to identify specific infectious or parasitic disease

Child Codes

Code Hierarchy

O98Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium
O98Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium

More on O98

Related condition guides

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