2025 ICD-10-CM code O98.71
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Pregnancy, childbirth and the puerperium - Other obstetric conditions, not elsewhere classified Chapter 15: Pregnancy, childbirth and the puerperium Feed
Human immunodeficiency virus [HIV] disease complicating pregnancy.
Modifiers may be applicable based on the circumstances of care and the services provided. Consult the specific payer guidelines.
Medical necessity is established by the presence of HIV infection during pregnancy. This necessitates monitoring the mother's health, preventing mother-to-child transmission, and managing potential complications.
Obstetricians and gynecologists, infectious disease specialists, and HIV specialists share responsibility depending on the severity and complexities of the case.
- Chapter 15: Pregnancy, childbirth and the puerperium
- O98.71 falls under the broader category O98.7 (Human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium).
In simple words: This code means a pregnant woman has HIV.This code is only for the mother's medical record, not the baby's. More information may be needed about the type of HIV infection and how far along the pregnancy is.
This code classifies the presence of HIV disease during pregnancy, impacting maternal health and potentially the fetus.It encompasses various stages of HIV infection, from asymptomatic to symptomatic disease or AIDS, all occurring during the gestational period.The code is used only on the maternal record, never on the newborn's record. Additional codes may be necessary to specify the trimester (using category Z3A for weeks of gestation) and the type of HIV disease (e.g., AIDS (B20), asymptomatic HIV (Z21), or symptomatic HIV (B20)).
Example 1: A 28-year-old woman at 12 weeks gestation presents with an HIV infection diagnosed prior to conception.She is asymptomatic., A 35-year-old woman, diagnosed with HIV during her 2nd trimester, shows symptoms and requires management of both HIV and the pregnancy., A 25-year-old woman is diagnosed with AIDS during her pregnancy. The case requires complex care involving antiretroviral therapy.
Complete medical history detailing HIV diagnosis date, stage of disease (CD4 count, viral load),treatment regimen, pregnancy timeline, obstetric history, and any complications.
** This code should be used only in conjunction with appropriate additional codes to fully describe the clinical picture.
- Payment Status: Active
- Specialties:Obstetrics and Gynecology, Infectious Disease, HIV/AIDS
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital