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BETA v.3.0

2025 ICD-10-CM code O24

Diabetes mellitus complicating pregnancy, childbirth, and the puerperium.

Use an additional code from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known. Also, use a code from categories E08-E13 to specify the type of diabetes. This code is to be used only on the maternal record, not the newborn's record.

The medical necessity for this code is established by the diagnosis of diabetes mellitus during pregnancy, childbirth, or the puerperium, impacting maternal and fetal well-being.

The physician is responsible for managing the mother's diabetes throughout the pregnancy, childbirth, and puerperium, including monitoring blood glucose levels, prescribing medication or insulin as needed, and providing education on diet and lifestyle modifications. The physician also coordinates care with other specialists, such as endocrinologists and dieticians, as necessary.

In simple words: This code indicates that the mother has diabetes during her pregnancy, delivery, or the period after delivery. It covers both diabetes that existed before pregnancy and diabetes that develops during pregnancy.

This code encompasses any type of diabetes mellitus affecting the mother during pregnancy, childbirth, or the puerperium (postpartum period). It includes pre-existing diabetes (type 1 or type 2) that continues through these periods, as well as gestational diabetes that develops during pregnancy.

Example 1: A 28-year-old woman with pre-existing type 1 diabetes becomes pregnant. Throughout her pregnancy, she requires close monitoring of her blood glucose and insulin adjustments to maintain optimal control., A 35-year-old woman develops gestational diabetes at 26 weeks of gestation. She is managed with diet and exercise initially, but later requires insulin to control her blood sugar levels., A 30-year-old woman with type 2 diabetes managed with oral medication prior to pregnancy now needs insulin therapy during her pregnancy.Postpartum, she is transitioned back to oral medication.

Documentation should include the type of diabetes, pre-existing or gestational, the date of diagnosis, blood glucose levels, medication or insulin regimen, any complications related to diabetes, and weeks of gestation.

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