2026 ICD-10-CM Diagnosis Code O98.43Viral hepatitis complicating the puerperium

ICD-10-CM Codes›O00-O9A›O94-O9A›O98

ICD-10-CM O98.43
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

O98.43 is a billable ICD-10-CM diagnosis code for viral hepatitis complicating the puerperium. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is restricted by the Medicare Code Editor to maternity cases (age 9 through 64). Coders also document this condition as viral hepatitis complicating pregnancy, childbirth and the puerperium. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Complications specified during the puerperium and Hepatitis.

Code Identity

ICD-10-CM Code
O98.43
Billable Status
Yes — Valid for Submission
Code Describes
Viral hepatitis complicating the puerperium
Short Description
Viral hepatitis complicating the puerperium
Same as the full description in the CMS dataset.
Parent Code
O98.4
Viral hepatitis complicating pregnancy, childbirth and the puerperium

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO94-O9AOther obstetric conditions, not elsewhere classified
CategoryO98Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium
This CodeO98.43Viral hepatitis complicating the puerperium

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O98.43.

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).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Viral hepatitis complicating pregnancy, childbirth and the puerperium

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Puerperal, puerperium(complicated by, complications)
      • infection
        • maternal
          • viral hepatitis

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR PRG027
Complications specified during the puerperium
Default principal diagnosis: inpatient Yes · outpatient Yes
CCSR INF007
Hepatitis
Default principal diagnosis: inpatient No · outpatient No

Patient EducationClinical

Hepatitis

Hepatitis is inflammation of the liver. Inflammation is swelling that happens when tissues of the body are injured or infected. It can damage your liver. This swelling and damage can affect how well your liver functions.

The full article covers:

  • What is hepatitis?
  • What causes hepatitis?
  • How is viral hepatitis spread?
  • Who is at risk for hepatitis?
  • What are the symptoms of hepatitis?
  • What other problems can hepatitis cause?
  • How is hepatitis diagnosed?
  • What are the treatments for hepatitis?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert O98.43 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
647.62 Oth viral dis-del w p/p
Approximate The match is approximate rather than exact.
ICD-9-CM
647.64 Oth viral dis-postpartum
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About O98.43Overview

Is O98.43 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report viral hepatitis complicating the puerperium on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Who can O98.43 be reported for?

The Medicare Code Editor checks viral hepatitis complicating the puerperium against patient demographics: this code is intended for maternity cases (age 9 through 64). Claims outside these limits are flagged as inconsistent.

What is the ICD-9 equivalent of O98.43?

Under the General Equivalence Mappings, viral hepatitis complicating the puerperium converts to ICD-9-CM 647.62 (oth viral dis-del w p/p) and 647.64 (oth viral dis-postpartum). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.