2025 ICD-10-CM code O98.1
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Obstetrics - Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium Chapter 15: Pregnancy, childbirth and the puerperium Feed
Syphilis complicating pregnancy, childbirth, or the puerperium.
Medical necessity is established by the presence of syphilis infection confirmed by laboratory testing during pregnancy, childbirth, or the puerperium. The need for treatment is based on established clinical guidelines for syphilis management during pregnancy to prevent congenital syphilis.
Obstetrician/Gynecologist, Infectious Disease Specialist
- Chapter 15: Pregnancy, childbirth and the puerperium
- O98: Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium
In simple words: This code is used when a mother has syphilis during pregnancy, after delivery, or if the syphilis got worse because of pregnancy. This code is only for the mother's medical records, not the baby's.
This code classifies syphilis infections that complicate pregnancy, childbirth, or the postpartum period.It applies when the syphilis infection is present during pregnancy, worsens due to pregnancy, or is a primary reason for obstetric care.This code should only be used on the maternal record, not the newborn's record.Additional codes may be necessary to specify the stage or severity of syphilis.
Example 1: A pregnant woman is diagnosed with secondary syphilis at 20 weeks gestation.O98.1 is used to code the syphilis infection in relation to her pregnancy., A woman develops syphilis shortly after childbirth and requires treatment. O98.1 would be used to code this postpartum infection., A pregnant woman with latent syphilis experiences a worsening of symptoms due to the pregnancy.O98.1 is used in conjunction with codes specifying the stage of syphilis and the pregnancy-related complications.
Complete obstetric history, including prenatal care records, serological test results for syphilis (e.g., VDRL, RPR, FTA-ABS), documentation of treatment regimen, and any complications resulting from the infection.In the postpartum period, also include postpartum records and any treatment for the infection.
** This code should not be used if the syphilis infection is unrelated to pregnancy, childbirth, or the puerperium.In such cases, use the appropriate code from Chapter I (Infectious and Parasitic Diseases).
- Payment Status: Active
- Specialties:Obstetrics and Gynecology, Infectious Disease
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital