O98 ICD-10-CM Code: Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium
HCC Buddy Code Card
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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 guidanceMaternal 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
Inclusion Terms
OfficialICD-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
Includes
Official- the listed conditions when complicating the pregnant state, when aggravated by the pregnancy, or as a reason for obstetric care
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for O98 in this effective period.
Code First
OfficialICD-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
OfficialICD-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
Use Additional Code
- code (Chapter 1), to identify specific infectious or parasitic disease