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ICD-10-CM 2027 diagnosis code

O98.63Protozoal diseases complicating the puerperium

✓ Billable / specificCC — complication/comorbidityMaternity · age 9–64Female only

O98.63 is a valid, billable ICD-10-CM code for protozoal diseases complicating the puerperium. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About O98.63

O98.63 is the ICD-10-CM diagnosis code for protozoal diseases complicating the puerperium. It belongs to category O98 (maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium), block O94-O9A (other obstetric conditions, not elsewhere classified) and chapter 15 (pregnancy, childbirth and the puerperium). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within O98.6 (protozoal diseases complicating pregnancy, childbirth and the puerperium), O98.63 is specifically for protozoal diseases complicating the puerperium. Related codes cover pregnancy (O98.61) and childbirth (O98.62).

Use an additional code (Chapter 1), to identify specific infectious or parasitic disease.

As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 769 (Postpartum and Post Abortion Diagnoses with O.R. Procedures, relative weight 1.6673) and DRG 776 (Postpartum and Post Abortion Diagnoses without O.R. Procedures, relative weight 0.6721), in MDC 14 (Pregnancy, Childbirth and the Puerperium), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

The Medicare Code Editor treats this as a maternity diagnosis, expected only for patients age 9 through 64.

It is on the CMS list of diagnoses consistent only with female patients (the sex-conflict edit itself was retired in FY2025).

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 647.42 (malaria in the mother, delivered, with mention of postpartum complication) and 647.44 (malaria in the mother, postpartum condition or complication).

Notes that apply from higher levels

Instructions written at a parent level also apply to O98.63.

› From O98 Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium
Includes
  • the listed conditions when complicating the pregnant state, when aggravated by the pregnancy, or as a reason for obstetric care
Excludes2
  • herpes gestationis (O26.4-)
  • infectious carrier state (O99.82-, O99.83-)
  • obstetrical tetanus (A34)
  • puerperal infection (O86.-)
  • puerperal sepsis (O85)
  • when the reason for maternal care is that the disease is known or suspected to have affected the fetus (O35-O36)
Use additional code
  • code (Chapter 1), to identify specific infectious or parasitic disease

Broader instructions also apply from Chapter 15: Pregnancy, childbirth and the puerperium.

Alphabetic index entries

1 entries

Terms in the official ICD-10-CM index that lead to O98.63.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

MDC 14 · Pregnancy, Childbirth and the Puerperium

MDC 14 · Pregnancy, Childbirth and the Puerperium

ICD-9-CM equivalent

Converter →
  • 647.42Malaria in the mother, delivered, with mention of postpartum complicationapproximate
  • 647.44Malaria in the mother, postpartum condition or complicationapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about O98.63

Is O98.63 billable?

Yes. O98.63 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can O98.63 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict O98.63 as a principal diagnosis.

Is O98.63 a CC or MCC?

O98.63 is a CC (complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.

What DRG does O98.63 group to?

O98.63 is used in the MS-DRG v44.0 logic for MS-DRG 769 (Postpartum and Post Abortion Diagnoses with O.R. Procedures) and MS-DRG 776 (Postpartum and Post Abortion Diagnoses without O.R. Procedures). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for O98.63?

The CMS General Equivalence Mappings map O98.63 to ICD-9-CM 647.42 and 647.44.