ICD-10-CM Code O98.72

Human immunodeficiency virus [HIV] disease complicating childbirth

Version 2020 Billable Code Maternity Diagnoses Diagnoses For Females Only

Valid for Submission

O98.72 is a billable code used to specify a medical diagnosis of human immunodeficiency virus [hiv] disease complicating childbirth. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code O98.72 might also be used to specify conditions or terms like acquired immune deficiency syndrome complicating childbirth, aids, human immunodeficiency virus complicating pregnancy childbirth and the puerperium, human immunodeficiency virus complicating pregnancy childbirth and the puerperium, human immunodeficiency virus in mother complicating childbirth, viral disease in mother complicating childbirth, etc

The code O98.72 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:O98.72
Short Description:Human immunodeficiency virus disease complicating childbirth
Long Description:Human immunodeficiency virus [HIV] disease complicating childbirth

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code O98.72 are found in the index:


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 - Maternity. Age range is 12–55 years inclusive (e.g., diabetes in pregnancy, antepartum pulmonary complication).
  • Diagnoses for females only - Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, this code applies to FEMALES only .

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Acquired immune deficiency syndrome complicating childbirth
  • AIDS
  • Human immunodeficiency virus complicating pregnancy childbirth and the puerperium
  • Human immunodeficiency virus complicating pregnancy childbirth and the puerperium
  • Human immunodeficiency virus in mother complicating childbirth
  • Viral disease in mother complicating childbirth
  • Viral disease in mother complicating pregnancy, childbirth AND/OR puerperium

Convert O98.72 to ICD-9

  • 647.61 - Oth viral dis-delivered (Approximate Flag)

Code Classification

  • Pregnancy, childbirth and the puerperium (O00–O99)
    • Other obstetric conditions, not elsewhere classified (O94-O9A)
      • Matern infec/parastc dis classd elsw but compl preg/chldbrth (O98)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Childbirth Problems

While childbirth usually goes well, complications can happen. They can cause a risk to the mother, baby, or both. Possible complications include

  • Preterm (premature) labor, when labor starts before 37 completed weeks of pregnancy
  • Problems with the umbilical cord
  • Problems with the position of the baby, such as breech, in which the baby is going to come out feet first
  • Birth injuries

For some of these problems, the baby may need to be delivered surgically by a Cesarean section.


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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:

  • During pregnancy
  • During childbirth, especially if it is vaginal childbirth. In some cases, your doctor may suggest doing a Cesarean section to lower the risk during childbirth.
  • During breastfeeding

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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