2022 ICD-10-CM Code O98.519
Other viral diseases complicating pregnancy, unspecified trimester
Code Classification
O98.519 is a billable diagnosis code used to specify a medical diagnosis of other viral diseases complicating pregnancy, unspecified trimester. The code O98.519 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code O98.519 might also be used to specify conditions or terms like herpes in pregnancy, maternal rubella during pregnancy - baby not yet delivered, pregnancy eruption, rubella in mother complicating pregnancy, childbirth and/or puerperium, rubella in pregnancy , viral disease in mother complicating pregnancy, childbirth and/or puerperium, etc.
The code O98.519 is applicable to female patients aged 12 through 55 years inclusive. It is clinically and virtually impossible to use this code on a non-female patient outside the stated age range.
Unspecified diagnosis codes like O98.519 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
Code Edits
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:
- Maternity diagnoses - The Medicare Code Editor detects inconsistencies in maternity cases by checking a patient's age and any diagnosis on the patient's record. The maternity code edits apply to patients age ange is 9–64 years inclusive (e.g., diabetes in pregnancy, antepartum pulmonary complication).
- Diagnoses for females only - The Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, these edits apply to FEMALES only .
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Herpes in pregnancy
- Maternal rubella during pregnancy - baby not yet delivered
- Pregnancy eruption
- Rubella in mother complicating pregnancy, childbirth AND/OR puerperium
- Rubella in pregnancy
- Viral disease in mother complicating pregnancy, childbirth AND/OR puerperium
- Viral disease of mother during pregnancy
- Viral disease of mother during pregnancy
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code O98.519 is grouped in the following groups for version MS-DRG V39.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2021 through 09/30/2022.
MS-DRG | MS-DRG Title | MCD | Relative Weight |
---|---|---|---|
817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | 14 | 2.3018 |
818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | 14 | 1.3165 |
819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | 14 | 0.9979 |
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert O98.519 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code O98.519 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- 647.60 - Oth virus in preg-unspec (Approximate Flag)
Information for Patients
Infections and Pregnancy
During pregnancy, some common infections like the common cold or a skin infection do not usually cause serious problems. But other infections can be dangerous to you, your baby, or both. Some infections may lead to preterm birth and low birth weight babies. Others can cause serious illness, birth defects, and lifelong disabilities, such as hearing loss or learning problems.
Some of the infections that can be dangerous during pregnancy include
- Bacterial vaginosis (BV)
- Group B strep (GBS)
- Hepatitis
- Sexually transmitted diseases
- Toxoplasmosis
- Urinary tract infections
- Yeast infections
- Zika virus
To try to prevent infections,
- Don't eat raw or undercooked meat
- Don't share food or drinks with other people
- Wash your hands frequently
- Don't empty cat litter. Cats can transmit toxoplasmosis.
If you do get an infection during pregnancy, contact your health care provider about how best to protect you and your baby. Only some medicines are safe during pregnancy.
[Learn More in MedlinePlus]
Related Codes
ICD Code | Description | Valid for Submission |
---|---|---|
O98 | Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium | NON-BILLABLE CODE |
O98.0 | Tuberculosis complicating pregnancy, childbirth and the puerperium | NON-BILLABLE CODE |
O98.01 | Tuberculosis complicating pregnancy | NON-BILLABLE CODE |
O98.011 | Tuberculosis complicating pregnancy, first trimester | BILLABLE CODE |
O98.012 | Tuberculosis complicating pregnancy, second trimester | BILLABLE CODE |
O98.013 | Tuberculosis complicating pregnancy, third trimester | BILLABLE CODE |
O98.019 | Tuberculosis complicating pregnancy, unspecified trimester | BILLABLE CODE |
O98.02 | Tuberculosis complicating childbirth | BILLABLE CODE |
O98.03 | Tuberculosis complicating the puerperium | BILLABLE CODE |
O98.1 | Syphilis complicating pregnancy, childbirth and the puerperium | NON-BILLABLE CODE |
O98.11 | Syphilis complicating pregnancy | NON-BILLABLE CODE |
O98.111 | Syphilis complicating pregnancy, first trimester | BILLABLE CODE |
O98.112 | Syphilis complicating pregnancy, second trimester | BILLABLE CODE |
O98.113 | Syphilis complicating pregnancy, third trimester | BILLABLE CODE |
O98.119 | Syphilis complicating pregnancy, unspecified trimester | BILLABLE CODE |
O98.12 | Syphilis complicating childbirth | BILLABLE CODE |
O98.13 | Syphilis complicating the puerperium | BILLABLE CODE |
O98.2 | Gonorrhea complicating pregnancy, childbirth and the puerperium | NON-BILLABLE CODE |
O98.21 | Gonorrhea complicating pregnancy | NON-BILLABLE CODE |
O98.211 | Gonorrhea complicating pregnancy, first trimester | BILLABLE CODE |
O98.212 | Gonorrhea complicating pregnancy, second trimester | BILLABLE CODE |
O98.213 | Gonorrhea complicating pregnancy, third trimester | BILLABLE CODE |
O98.219 | Gonorrhea complicating pregnancy, unspecified trimester | BILLABLE CODE |
O98.22 | Gonorrhea complicating childbirth | BILLABLE CODE |
O98.23 | Gonorrhea complicating the puerperium | BILLABLE CODE |
O98.3 | Other infections with a predominantly sexual mode of transmission complicating pregnancy, childbirth and the puerperium | NON-BILLABLE CODE |
O98.31 | Other infections with a predominantly sexual mode of transmission complicating pregnancy | NON-BILLABLE CODE |
O98.311 | Other infections with a predominantly sexual mode of transmission complicating pregnancy, first trimester | BILLABLE CODE |
O98.312 | Other infections with a predominantly sexual mode of transmission complicating pregnancy, second trimester | BILLABLE CODE |
O98.313 | Other infections with a predominantly sexual mode of transmission complicating pregnancy, third trimester | BILLABLE CODE |
O98.319 | Other infections with a predominantly sexual mode of transmission complicating pregnancy, unspecified trimester | BILLABLE CODE |
O98.32 | Other infections with a predominantly sexual mode of transmission complicating childbirth | BILLABLE CODE |
O98.33 | Other infections with a predominantly sexual mode of transmission complicating the puerperium | BILLABLE CODE |
O98.4 | Viral hepatitis complicating pregnancy, childbirth and the puerperium | NON-BILLABLE CODE |
O98.41 | Viral hepatitis complicating pregnancy | NON-BILLABLE CODE |
O98.411 | Viral hepatitis complicating pregnancy, first trimester | BILLABLE CODE |
O98.412 | Viral hepatitis complicating pregnancy, second trimester | BILLABLE CODE |
O98.413 | Viral hepatitis complicating pregnancy, third trimester | BILLABLE CODE |
O98.419 | Viral hepatitis complicating pregnancy, unspecified trimester | BILLABLE CODE |
O98.42 | Viral hepatitis complicating childbirth | BILLABLE CODE |
O98.43 | Viral hepatitis complicating the puerperium | BILLABLE CODE |
O98.5 | Other viral diseases complicating pregnancy, childbirth and the puerperium | NON-BILLABLE CODE |
O98.51 | Other viral diseases complicating pregnancy | NON-BILLABLE CODE |
O98.511 | Other viral diseases complicating pregnancy, first trimester | BILLABLE CODE |
O98.512 | Other viral diseases complicating pregnancy, second trimester | BILLABLE CODE |
O98.513 | Other viral diseases complicating pregnancy, third trimester | BILLABLE CODE |
O98.52 | Other viral diseases complicating childbirth | BILLABLE CODE |
O98.53 | Other viral diseases complicating the puerperium | BILLABLE CODE |
O98.6 | Protozoal diseases complicating pregnancy, childbirth and the puerperium | NON-BILLABLE CODE |
O98.61 | Protozoal diseases complicating pregnancy | NON-BILLABLE CODE |
O98.611 | Protozoal diseases complicating pregnancy, first trimester | BILLABLE CODE |
Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)