O98.93 — Unspecified maternal infectious and parasitic disease complicating the puerperium
Is O98.93 billable?
Yes, but O98.93 is an unspecified code. O98.93 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, O98.93 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting O98.93 — the more specific alternatives are listed below.
O98.93 at a glance
| Code | O98.93 |
|---|---|
| Description | Unspecified maternal infectious and parasitic disease complicating the puerperium |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does O98.93 group to?
O98.93 sits in MDC 14 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 769Postpartum and Post Abortion Diagnoses with O.R. Proceduressurgical
As a secondary diagnosis, O98.93 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is O98.93 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to O98.93. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Puerperal, puerperium › infection › maternal (complicated by, complications)
Excludes1 — never code together — inherited from Chapter 15
The conditions below can never be reported together with O98.93 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 O98.93 to fully describe the condition. O98.93 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 O98.93 to fully describe the condition. O98.93 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 O98.93, but a patient may have both at the same time. When documentation supports it, O98.93 and the excluded code may both be reported.
Excludes2 — not included here — inherited from O98
The conditions below are not part of O98.93, but a patient may have both at the same time. When documentation supports it, O98.93 and the excluded code may both be reported.
How long has O98.93 existed?
O98.93 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.