ICDcodes.org
FY2027

O98.711Human immunodeficiency virus [HIV] disease complicating pregnancy, first trimester

BillableCC

Is O98.711 billable?

Yes — O98.711 is billable for FY2027. O98.711 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. O98.711 may be submitted for encounters from October 1, 2026 through September 30, 2027.

O98.711 at a glance

CodeO98.711
DescriptionHuman immunodeficiency virus [HIV] disease complicating pregnancy, first trimester
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does O98.711 group to?

O98.711 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, O98.711 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.

How is O98.711 listed in the Alphabetic Index?

The Alphabetic Index lists these routes under O98.71, the nearest indexed parent of O98.711. Use them to find the family, then select the specific code.

  • Pregnancycomplicated byHIV (single) (uterine)
  • Pregnancycomplicated byhuman immunodeficiency virusdisease (single) (uterine)
  • Pregnancycomplicated byinfectionHIV (single) (uterine)
  • Pregnancycomplicated byinfectionhuman immunodeficiency virus (single) (uterine)

Excludes1 — never code together — inherited from Chapter 15

The conditions below can never be reported together with O98.711 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 O98.711 to fully describe the condition. O98.711 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 O98.711 to fully describe the condition. O98.711 is sequenced first.

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

Use additional code — inherited from O98.7

Report an additional code alongside O98.711 to fully describe the condition. O98.711 is sequenced first.

  • 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)

Excludes2 — not included here — inherited from Chapter 15

The conditions below are not part of O98.711, but a patient may have both at the same time. When documentation supports it, O98.711 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 O98.711, but a patient may have both at the same time. When documentation supports it, O98.711 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 O98.711 existed?

O98.711 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 O98.71 family? (3)