ICDcodes.org
FY2027

O98.613Protozoal diseases complicating pregnancy, third trimester

BillableCC

Is O98.613 billable?

Yes — O98.613 is billable for FY2027. O98.613 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. O98.613 may be submitted for encounters from October 1, 2026 through September 30, 2027.

O98.613 at a glance

CodeO98.613
DescriptionProtozoal diseases complicating pregnancy, third trimester
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does O98.613 group to?

O98.613 sits in MDC 14 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 817Other Antepartum Diagnoses with O.R. Procedures with MCCsurgical
  • 818Other Antepartum Diagnoses with O.R. Procedures with CCsurgical
  • 819Other Antepartum Diagnoses with O.R. Procedures without CC/MCCsurgical

As a secondary diagnosis, O98.613 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.

How is O98.613 listed in the Alphabetic Index?

The Alphabetic Index lists these routes under O98.61, the nearest indexed parent of O98.613. Use them to find the family, then select the specific code.

  • Pregnancycomplicated byinfectionprotozoal disease (single) (uterine)

Excludes1 — never code together — inherited from Chapter 15

The conditions below can never be reported together with O98.613 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • supervision of normal pregnancy (Z34.-)

Use additional code — inherited from Chapter 15

Report an additional code alongside O98.613 to fully describe the condition. O98.613 is sequenced first.

  • code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.

Use additional code — inherited from O98

Report an additional code alongside O98.613 to fully describe the condition. O98.613 is sequenced first.

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

Excludes2 — not included here — inherited from Chapter 15

The conditions below are not part of O98.613, but a patient may have both at the same time. When documentation supports it, O98.613 and the excluded code may both be reported.

  • mental and behavioral disorders associated with the puerperium (F53.-)
  • obstetrical tetanus (A34)
  • postpartum necrosis of pituitary gland (E23.0)
  • puerperal osteomalacia (M83.0)

Excludes2 — not included here — inherited from O98

The conditions below are not part of O98.613, but a patient may have both at the same time. When documentation supports it, O98.613 and the excluded code may both be reported.

  • 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)

How long has O98.613 existed?

O98.613 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

What other codes are in the O98.61 family? (3)