O98.212
BillableGonorrhea complicating pregnancy, second trimester
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is O98.212 an HCC code?
No. O98.212 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
O98.212 is the ICD-10-CM diagnosis code for gonorrhea complicating pregnancy, second trimester. A pregnant woman in her second trimester (weeks 14-20) has gonorrhea that is complicating her pregnancy. O98.212 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).
O98.212 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Second trimester spans weeks 14-20 of gestation; verify documentation supports this timeframe.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for O98.212 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Second trimester spans weeks 14-20 of gestation; verify documentation supports this timeframe
- •Screen for maternal and fetal complications related to untreated gonorrhea