2021 ICD-10-CM Code O98.713

Human immunodeficiency virus [HIV] disease complicating pregnancy, third trimester

Version 2021
Billable Code
Maternity Diagnoses
Diagnoses For Females Only
Third Trimester (28+ weeks)
MS-DRG Mapping

Valid for Submission

O98.713 is a billable diagnosis code used to specify a medical diagnosis of human immunodeficiency virus [hiv] disease complicating pregnancy, third trimester. The code O98.713 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.

The code O98.713 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.

ICD-10:O98.713
Short Description:Human immunodef virus disease comp preg, third trimester
Long Description:Human immunodeficiency virus [HIV] disease complicating pregnancy, third trimester

Code Classification

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:

Convert O98.713 to ICD-9 Code

The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code O98.713 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.

Information for Patients


HIV/AIDS and Pregnancy

If you are pregnant and have HIV/AIDS,there is a risk of passing HIV to your baby. It can happen in three ways:

You can greatly lower that risk by taking HIV/AIDS medicines. These medicines will also help protect your health. Since some medicines are not safe for babies, it is important to talk with your health care provider about which ones you should take. Then you need to make sure you take your medicines regularly.

Your baby will get HIV/AIDS medicines for 4 to 6 weeks after birth. The medicines protect your baby from infection from any HIV that passed from you during childbirth. Your baby will get several tests to check for HIV over the first few months.

Some pregnant women with HIV/AIDS may not know that they have it. So it is important that all women who are pregnant or planning to get pregnant have an HIV test as early as possible. Because most pregnant women with HIV/AIDS and their babies take HIV/AIDS medicines, few babies in the United States get HIV.


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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)