Gestational diabetes mellitus
ICD-10 O24.4 is a billable code used to indicate a diagnosis of gestational diabetes mellitus.
Gestational diabetes mellitus (GDM) is a form of diabetes that develops during pregnancy and typically resolves after childbirth. It is characterized by glucose intolerance that is first recognized during pregnancy, usually diagnosed through glucose screening tests. GDM can lead to various complications for both the mother and the fetus, including increased risk of cesarean delivery, hypertensive disorders, and macrosomia (large for gestational age). Management of GDM often involves dietary modifications, blood glucose monitoring, and, in some cases, insulin therapy to maintain optimal glucose levels. Regular fetal monitoring is crucial to assess fetal growth and well-being, as uncontrolled GDM can lead to adverse outcomes such as neonatal hypoglycemia and increased risk of obesity and type 2 diabetes in the child later in life. Effective management requires a multidisciplinary approach, including obstetricians, dietitians, and diabetes educators, to ensure both maternal and fetal health are prioritized throughout the pregnancy.
Documentation must include results of glucose tolerance tests, treatment plans, and any complications arising from GDM.
A patient diagnosed with GDM at 24 weeks gestation requiring insulin therapy and regular fetal monitoring.
Coders must ensure accurate tracking of glucose levels and treatment adjustments, as well as any associated maternal or fetal complications.
Detailed documentation of high-risk factors, including maternal obesity, family history of diabetes, and previous GDM.
Management of a high-risk pregnancy with GDM and additional complications such as preeclampsia.
High-risk scenarios require thorough documentation of both maternal and fetal assessments, including ultrasound findings and growth patterns.
Used for routine follow-up visits for patients with GDM.
Documentation must include assessment of blood glucose levels and management plan.
Obstetricians should document any changes in treatment or complications.
Performed to diagnose GDM during routine prenatal care.
Results of the test must be documented clearly.
Ensure that the timing of the test aligns with gestational age recommendations.
Gestational diabetes is a form of diabetes that develops during pregnancy and typically resolves after childbirth, while pre-existing diabetes refers to type 1 or type 2 diabetes that existed before pregnancy. Accurate coding is essential to differentiate between these conditions to ensure appropriate management and care.
