O98.5 vs O98.7
O98.5 (Other viral diseases complicating pregnancy, childbirth and the puerperium) compared with O98.7 (Human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. O98.5 carries an Excludes1 note covering O98.7: “human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium (O98.7-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| O98.5Other viral diseases complicating pregnancy, childbirth and the puerperium | O98.7Human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A) | O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A) |
| Definition | Other viral diseases complicating pregnancy, childbirth and the puerperium is a non-billable ICD-10-CM category code (O98.5). | Human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium is a non-billable ICD-10-CM category code (O98.7). |
| Includes | the listed conditions when complicating the pregnant state, when aggravated by the pregnancy, or as a reason for obstetric care Conditions in A80-B09, B25-B34, R87.81-, R87.82- | the listed conditions when complicating the pregnant state, when aggravated by the pregnancy, or as a reason for obstetric care |
| Use additional code | code (Chapter 1), to identify specific infectious or parasitic disease | code to identify the type of HIV disease: Acquired immune deficiency syndrome (AIDS) (B20) Asymptomatic HIV status (Z21) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources