Unspecified pre-existing diabetes mellitus in pregnancy, first trimester
ICD-10 O24.311 is a billable code used to indicate a diagnosis of unspecified pre-existing diabetes mellitus in pregnancy, first trimester.
Unspecified pre-existing diabetes mellitus in pregnancy during the first trimester refers to a condition where a woman has diabetes that existed prior to pregnancy but has not been specifically classified as type 1 or type 2. This condition poses unique challenges during pregnancy, as it can lead to complications for both the mother and the fetus. Women with pre-existing diabetes are at increased risk for gestational hypertension, preeclampsia, and cesarean delivery. Additionally, fetal risks include macrosomia, congenital anomalies, and neonatal hypoglycemia. Management typically involves close monitoring of blood glucose levels, dietary modifications, and possibly insulin therapy to maintain optimal glycemic control. Regular fetal monitoring is essential to assess fetal growth and well-being, especially in the context of maternal diabetes. The first trimester is a critical period for fetal development, making effective management of pre-existing diabetes crucial to minimize risks and ensure a healthy pregnancy outcome.
Documentation must include the patient's diabetes history, current management plan, and any complications encountered during pregnancy.
Patients with a known history of diabetes presenting for prenatal care, requiring insulin management adjustments.
Coders must ensure that all aspects of diabetes management and fetal monitoring are documented to support the coding.
Detailed records of maternal-fetal assessments, including ultrasound findings and fetal growth monitoring.
High-risk pregnancies with pre-existing diabetes requiring specialized care and monitoring.
Focus on the implications of diabetes on fetal health and the need for multidisciplinary care.
Used during the first prenatal visit for a patient with pre-existing diabetes.
Document the patient's diabetes history, current management, and any complications.
Obstetricians should ensure comprehensive documentation to support the visit.
Pre-existing diabetes refers to diabetes that was diagnosed before pregnancy, while gestational diabetes develops during pregnancy. Accurate coding is essential to reflect the patient's condition correctly.
