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Compare/O99.82 vs Z22.330

O99.82 vs Z22.330

O99.82 (Streptococcus B carrier state complicating pregnancy, childbirth and the puerperium) compared with Z22.330 (Carrier of Group B streptococcus), 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. O99.82 carries an Excludes1 note covering Z22.330: “Carrier of streptococcus group B (GBS) in a nonpregnant woman (Z22.330)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

No — do not report together. Z22.330 carries an Excludes1 note covering O99.82: “Carrier of streptococcus group B (GBS) complicating pregnancy, childbirth and the puerperium (O99.82-)”

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

O99.82Streptococcus B carrier state complicating pregnancy, childbirth and the puerperiumZ22.330Carrier of Group B streptococcus
Billing statusNon-billable header

Report instead: O99.820, O99.824, O99.825

Billable
ClassificationO00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99)
DefinitionStreptococcus B carrier state complicating pregnancy, childbirth and the puerperium is a non-billable ICD-10-CM category code (O99.82).Carrier of Group B streptococcus is a billable ICD-10-CM diagnosis code (Z22.330).
Includes
conditions which complicate the pregnant state, are aggravated by the pregnancy or are a main reason for obstetric care
colonization status
suspected carrier
Use additional code
code to identify condition
code to identify specific condition

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources