O98.7 Human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium

⚠ Non-Billable ICD-10-CM 2026
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The ICD-10-CM code for Human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium is O98.7 (FY2026). It is a non-billable category code — select a more specific code below for claims.

Classification

Section
O94-O9A: Other obstetric conditions, not elsewhere classified (O94-O9A)
Category O98
81 codes (60 billable)
FY2026 Status
Stable since FY2024
Use Additional Code
  • code to identify the type of HIV disease:
  • Acquired immune deficiency syndrome (AIDS) (B20)
  • Asymptomatic HIV status (Z21)
  • HIV positive NOS (Z21)
  • Symptomatic HIV disease (B20)

Official Coding Guidelines

HIV infection in pregnancy/childbirth/puerperium (O98.7)

(h) HIV Infection in Pregnancy, Childbirth and the Puerperium When a patient presents during pregnancy, childbirth or the puerperium with documented symptomatic HIV disease or an HIV related illness, assign a code from subcategory O98.7, Human immunodeficiency [HIV] disease complicating pregnancy, childbirth and the puerperium, followed by code B20 and additional code(s) for any HIV-related illness(es). Codes from Chapter 15 always take sequencing priority. When a patient presents during pregnancy, childbirth or the puerperium with documented asymptomatic HIV infection status or is HIV-positive, assign a code from subcategory O98.7 followed by code Z21.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.1.a.2.h
HIV-related illness in pregnancy: O98.7- principal then illness codes

f. HIV Infection in Pregnancy, Childbirth and the Puerperium During pregnancy, childbirth or the puerperium, a patient admitted because of an HIV-related illness should receive a principal diagnosis from subcategory O98.7-, Human immunodeficiency [HIV] disease complicating pregnancy, childbirth and the puerperium, followed by the code(s) for the HIV-related illness(es).

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.15.f

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

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Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2025-10-01

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