2026 ICD-10-CM Diagnosis Code O98.72Human immunodeficiency virus [HIV] disease complicating childbirth

ICD-10-CM Codes›O00-O9A›O94-O9A›O98

ICD-10-CM O98.72
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

O98.72 is a billable ICD-10-CM diagnosis code for human immunodeficiency virus [HIV] disease complicating childbirth. 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 acquired immune deficiency syndrome complicating childbirth. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Complications specified during childbirth and HIV infection.

Code Identity

ICD-10-CM Code
O98.72
Billable Status
Yes — Valid for Submission
Code Describes
Human immunodeficiency virus [HIV] disease complicating childbirth
Short Description
Human immunodeficiency virus disease complicating childbirth
Parent Code
O98.7
Human immunodeficiency virus [HIV] disease 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 CodeO98.72Human immunodeficiency virus [HIV] disease complicating childbirth

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O98.72.

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.

  • Acquired immune deficiency syndrome complicating childbirth
  • Human immunodeficiency virus complicating pregnancy childbirth and the puerperium
  • Human immunodeficiency virus in mother complicating childbirth
  • Viral disease in mother complicating childbirth

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.

    • Delivery(childbirth) (labor)
      • complicated
        • by
          • infection (maternal)
            • human immunodeficiency virus (HIV)

Clinical ClassificationClinical

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

CCSR PRG023
Complications specified during childbirth
Default principal diagnosis: inpatient Yes · outpatient Yes
CCSR INF006
HIV infection
Default principal diagnosis: inpatient No · outpatient No

Patient EducationClinical

Childbirth Problems

Childbirth is the process of giving birth to a baby. It includes labor and delivery. Usually everything goes well, but problems can happen. They may cause a risk to the mother, baby, or both. Some of the more common childbirth problems include:

Read the full article at MedlinePlus

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

Convert O98.72 to ICD-9-CMHistory

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

ICD-9-CM
647.61 Oth viral dis-delivered
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 O98.72Overview

Is O98.72 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report human immunodeficiency virus [HIV] disease complicating childbirth on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Who can O98.72 be reported for?

The Medicare Code Editor checks human immunodeficiency virus [HIV] disease complicating childbirth 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 O98.72?

Under the General Equivalence Mappings, human immunodeficiency virus [HIV] disease complicating childbirth converts to ICD-9-CM 647.61 (oth viral dis-delivered). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.