ICD10BillableValid for clinical use

ICD-10 Code O98.711: Human immunodeficiency virus [HIV] disease complicating pregnancy, first trimester

O98.711 is a billable ICD-10 diagnosis code used to classify Human immunodeficiency virus [HIV] disease complicating pregnancy, first trimester in medical records and claims. You may see this code in hospital records, discharge summaries, insurance claims, encounter documentation, referrals, or other healthcare billing and coding records. ICD-10 codes are diagnosis classification codes used in healthcare records, reporting, coding workflows, and billing support. This code sits within the broader ICD-10 area for Pregnancy, childbirth and the puerperium (O00-O9A).

What is this code?

ICD-10 codes are diagnosis classification codes used in healthcare records, reporting, coding workflows, and billing support. This code sits within the broader ICD-10 area for Pregnancy, childbirth and the puerperium (O00-O9A).

đź“‹Clinical overview

This ICD-10 code is commonly used when documentation describes HIV disease complicating pregnancy, childbirth, or the puerperium. The most accurate code depends on maternal timing and whether trimester, delivery, or postpartum context is clearly documented.

When is it used?

  • May be used when a clinician documents human immunodeficiency virus [hiv] disease complicating pregnancy, first trimester in a patient's medical record.
  • May appear in hospital records, claims, referrals, and clinical documentation.
  • This code can be used as a clinically usable diagnosis entry in standardized coding workflows.

What it does not mean

  • A code alone does not explain severity, treatment plan, or outcome.
  • A medical code should not be treated as a substitute for a doctor's diagnosis or advice.

🩺Clinical context

When commonly used
  • Obstetric, maternal-fetal medicine, infectious-disease, inpatient, and follow-up documentation where maternal HIV disease materially affects pregnancy management, delivery planning, or postpartum recovery.
  • Coding and utilization-review workflows where the chart clearly ties maternal HIV disease to pregnancy, childbirth, or the puerperium and timing changes the final complication code.
Common workup
  • Related procedures or service context already linked on this page include Obstetric ultrasound, Fetal nonstress testing.
Common management context
  • Maternal HIV-disease follow-up often includes infectious-disease treatment planning, medication review, laboratory monitoring context, obstetric follow-up, and coordination of delivery or postpartum care.
  • Documentation usually becomes more specific when the chart identifies trimester timing, delivery timing, puerperium context, treatment status, viral-suppression context, or associated maternal complications elsewhere in the record.
  • Specialist context already linked on this page includes Obstetrician, Gynecologist.

🔍Key distinctions

Important notes
  • This ICD-10 family captures maternal HIV disease as a pregnancy-related complication, and the distinction between pregnancy, childbirth, and puerperium timing is part of what makes these codes different from one another.
  • Trimester detail matters for pregnancy-coded cases, while delivery and postpartum timing matter for childbirth and puerperium-coded cases.
  • This title reflects maternal HIV disease complicating pregnancy, which is coded separately from HIV disease complicating childbirth or the puerperium because maternal timing changes code specificity.
  • Trimester detail is part of the maternal HIV-disease code choice, so documentation that clearly states first, second, or third trimester affects specificity.
Related codes to consider
O98.712Human immunodeficiency virus [HIV] disease complicating pregnancy, second trimester
Related maternal HIV-disease ICD-10 code; documentation often becomes more specific when the chart identifies trimester detail, pregnancy versus delivery versus puerperium timing, treatment status, or viral-suppression context.
O98.713Human immunodeficiency virus [HIV] disease complicating pregnancy, third trimester
Related maternal HIV-disease ICD-10 code; documentation often becomes more specific when the chart identifies trimester detail, pregnancy versus delivery versus puerperium timing, treatment status, or viral-suppression context.
O98.719Human immunodeficiency virus [HIV] disease complicating pregnancy, unspecified trimester
Related maternal HIV-disease ICD-10 code; documentation often becomes more specific when the chart identifies trimester detail, pregnancy versus delivery versus puerperium timing, treatment status, or viral-suppression context.

Code hierarchy

chapter
15Pregnancy, childbirth and the puerperium (O00-O9A)
block
O94-O9AOther obstetric conditions, not elsewhere classified
category
O98Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium
category
O98.7Human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium
category
O98.71Human immunodeficiency virus [HIV] disease complicating pregnancy
currentO98.71

Where you may see this code

You may see this code in hospital records, discharge summaries, insurance claims, encounter documentation, referrals, or other healthcare billing and coding records.

Related specialists

ObstetricianGynecologist

Related procedures

Obstetric ultrasound
May appear in pregnancy follow-up pathways when maternal infection complicates pregnancy and fetal well-being is monitored.
Fetal nonstress testing
May be used in selected higher-risk pregnancy monitoring pathways.

Coverage-related procedures and services

CPT 87801high
INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA), MULTIPLE ORGANISMS; AMPLIFIED PROBE(S) TECHNIQUE
Source: CMS coverage guidance
CPT 87999high
UNLISTED MICROBIOLOGY PROCEDURE
Source: CMS coverage guidance
CPT 0527Uhigh
HERPES SIMPLEX VIRUS (HSV) TYPES 1 AND 2 AND VARICELLA ZOSTER VIRUS (VZV), AMPLIFIED PROBE TECHNIQUE, EACH PATHOGEN REPORTED AS DETECTED OR NOT DETECTED
Source: CMS coverage guidance
CPT 0402Uhigh
INFECTIOUS AGENT (SEXUALLY TRANSMITTED INFECTION), CHLAMYDIA TRACHOMATIS, NEISSERIA GONORRHOEAE, TRICHOMONAS VAGINALIS, MYCOPLASMA GENITALIUM, MULTIPLEX AMPLIFIED PROBE TECHNIQUE, VAGINAL, ENDOCERVICAL, OR MALE URINE, EACH PATHOGEN REPORTED AS DETECTED OR NOT DETECTED
Source: CMS coverage guidance
CPT 87800high
INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA), MULTIPLE ORGANISMS; DIRECT PROBE(S) TECHNIQUE
Source: CMS coverage guidance
CPT 87494high
INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); CHLAMYDIA TRACHOMATIS AND NEISSERIA GONORRHOEAE, MULTIPLEX AMPLIFIED PROBE TECHNIQUE
Source: CMS coverage guidance

Coding guidelines

Common synonyms

Human immunodeficiency virus [HIV] disease complicating pregnancy, first trimester

Frequently asked questions

Code details

CodeO98.711
SystemICD10
Display nameHuman immunodeficiency virus [HIV] disease complicating pregnancy, first trimester
ChapterPregnancy, childbirth and the puerperium (O00-O9A)
BlockOther obstetric conditions, not elsewhere classified

Flags

BillableYes
Valid clinical useYes

Source

SourceICD-10
Version2026-annual
Releaseannual
Year2026

About this content

This page is prepared by HealthAssure's clinical team using official coding standards from ICD-10. AI tools assist with drafting explanations, which are then reviewed and verified by healthcare professionals for accuracy. This content is for informational purposes and does not replace professional medical advice. Meet our team.