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2025 ICD-10-CM code O24.4

Gestational diabetes mellitus.

This code is for use on the maternal record only, not the newborn's.Use an additional code from category Z3A to specify the week of gestation.Code O24.4 should not be used with codes from categories O30-O48 (maternal care related to the fetus) or O98-O99 (maternal diseases complicating pregnancy).

Medical necessity for the management of GDM stems from the potential risks to both mother and baby, including preeclampsia, macrosomia (large birth weight), and neonatal hypoglycemia.Proper management aims to mitigate these risks.

Diagnosis and management of gestational diabetes during pregnancy falls under the responsibility of obstetricians, maternal-fetal medicine specialists, and primary care physicians providing prenatal care.This includes ordering and interpreting glucose tolerance tests, providing patient education on diet and lifestyle modifications, monitoring blood glucose levels, prescribing insulin if necessary, and coordinating care with other specialists as needed.

In simple words: Gestational diabetes is a type of diabetes that develops during pregnancy. It means you have higher than normal blood sugar levels while you are pregnant.This usually goes away after the baby is born.

Gestational diabetes mellitus (GDM) is a condition characterized by high blood sugar levels that develop during pregnancy in women who did not have diabetes prior to pregnancy. It typically arises in the second or third trimester and usually resolves after delivery. GDM can pose risks to both the mother and the baby if not managed appropriately.

Example 1: A 28-year-old woman in her 26th week of pregnancy has an elevated glucose tolerance test, confirming the diagnosis of GDM.She receives nutritional counseling and initiates a blood glucose monitoring regimen., A 35-year-old woman with a family history of diabetes is diagnosed with GDM at 30 weeks of gestation.Despite lifestyle modifications, her blood sugar levels remain uncontrolled, requiring initiation of insulin therapy., A 30-year-old woman develops GDM in her third trimester.After delivery, her blood sugar returns to normal.She is advised on lifestyle changes to reduce her risk of developing type 2 diabetes later in life.

Documentation should include results of glucose tolerance testing (GTT), blood glucose levels, details of diet and exercise counseling, medication administration (if any), and any complications arising from GDM.Weeks of gestation should also be recorded.

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