Is O98.7 a billable ICD-10-CM code?

No. O98.7 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does O98.7 sit in the tabular list?

Pregnancy, childbirth and the puerperium (O00-O9A), in the block Other obstetric conditions, not elsewhere classified (O94-O9A).

O98.7

O98.7 — Human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium

Non-billable headerICD-10-CM

O98.7 is a non-billable header ICD-10-CM code for human immunodeficiency virus [hiv] disease complicating pregnancy, childbirth and the puerperium. It cannot be billed on its own: choose one of the more specific child codes below.

Use additional code

Add a secondary code to capture the detail described below.

code to identify the type of HIV disease:
Acquired immune deficiency syndrome (AIDS) (B20)
Asymptomatic HIV status (Z21)
HIV positive NOS (Z21)
Symptomatic HIV disease (B20)

Other codes that can never be billed with O98.7

These codes carry an Excludes1 note pointing at O98.7. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O98.7 alone.

O98.5Other viral diseases complicating pregnancy, childbirth and the puerperium

Risk adjustment

O98.7 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead O98.7

3 child codes. Green means billable.

Related codes at this level

Codes that share O98. If O98.7 is not quite right, the correct code is usually one of these.

Questions about O98.7

Is O98.7 a billable ICD-10-CM code?: No. O98.7 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does O98.7 sit in the tabular list?: Pregnancy, childbirth and the puerperium (O00-O9A), in the block Other obstetric conditions, not elsewhere classified (O94-O9A).