2025 ICD-10-CM code O98
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Obstetrics - Other obstetric conditions, not elsewhere classified Chapter 19: Pregnancy, childbirth and the puerperium Feed
Maternal infectious and parasitic diseases complicating pregnancy, childbirth, or the puerperium.
Modifiers are not applicable to ICD-10 codes.
Medical necessity is established by the presence of a documented maternal infectious or parasitic disease that complicates pregnancy, childbirth, or the puerperium and requires medical intervention.The severity of the infection, its potential impact on the mother and fetus, and the need for treatment should all be documented to support medical necessity.
The clinical responsibility involves the appropriate diagnosis and management of the maternal infection or parasitic disease, including appropriate treatment, monitoring of the mother's condition, and consideration of the impact on the pregnancy and the fetus.
In simple words: This code is for a mother's infection or parasitic disease that makes her pregnancy, childbirth, or the time after birth more difficult.The specific infection or parasite needs a separate code. This does not include certain specific infections or when the main concern is the baby's health.
This code classifies maternal infectious and parasitic diseases that are not categorized elsewhere but complicate pregnancy, childbirth, or the puerperium.It includes conditions listed when they complicate the pregnant state, are aggravated by pregnancy, or are a reason for obstetric care.An additional code from Chapter I should be used to identify the specific infectious or parasitic disease.This code excludes obstetrical tetanus (A34), puerperal infection (O86.-), puerperal sepsis (O85), and situations where the reason for maternal care is a suspected or known fetal effect of the disease (O35-O36).
Example 1: A pregnant woman develops malaria, which complicates her pregnancy and requires medical management., A postpartum woman develops a urinary tract infection due to an E. coli infection, requiring antibiotic treatment., A woman with active tuberculosis experiences a worsening of symptoms during pregnancy, requiring specific management strategies to protect both the mother and the fetus.
Detailed documentation should include the specific infectious or parasitic disease identified, its impact on the pregnancy, childbirth, or postpartum period, and the treatment provided.Laboratory results, such as culture reports, should be documented.The gestational age at diagnosis and any effect on the fetus should also be noted.
** This code is used to report maternal infectious and parasitic diseases complicating pregnancy, childbirth, or the puerperium, and it should always be used in conjunction with codes from Chapter I to identify the specific disease.Always refer to the latest version of the ICD-10-CM manual for complete and accurate coding guidelines.
- Revenue Code: Revenue codes will vary depending on the specific services provided and the payer.
- RVU: RVUs are not applicable to ICD-10 codes.Reimbursement is determined by other factors, such as the specific services rendered and payer policies.
- Global Days: Not applicable to ICD-10 codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes.
- Specialties:Obstetrics and Gynecology, Infectious Disease
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office