Gestational diabetes mellitus in pregnancy, diet controlled
ICD-10 O24.410 is a billable code used to indicate a diagnosis of gestational diabetes mellitus in pregnancy, diet controlled.
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. The condition can lead to various complications for both the mother and the fetus, including increased risk of cesarean delivery, macrosomia, and neonatal hypoglycemia. Management of GDM primarily involves dietary modifications aimed at controlling blood glucose levels. Patients are often advised to monitor their carbohydrate intake, engage in regular physical activity, and maintain a healthy weight. Regular fetal monitoring is essential to assess fetal growth and well-being, as well as to detect any potential complications early. In cases where diet alone is insufficient to control blood glucose levels, insulin therapy may be initiated. However, for this specific code, the focus is on cases where the condition is managed solely through dietary changes. Proper documentation of dietary management, blood glucose monitoring, and any fetal assessments is crucial for accurate coding and billing.
Documentation must include details of dietary management, blood glucose levels, and fetal monitoring results.
Routine visits for GDM management, dietary counseling sessions, and fetal growth assessments.
Ensure clear documentation of the patient's compliance with dietary recommendations and any changes in management.
Comprehensive documentation of high-risk factors, including maternal health history and fetal assessments.
Management of GDM in patients with additional risk factors such as obesity or previous GDM.
Focus on detailed fetal monitoring and potential complications associated with GDM.
Used for routine follow-up visits for GDM management.
Document patient history, examination findings, and management plan.
Obstetricians should ensure comprehensive documentation of GDM management.
Gestational diabetes develops during pregnancy and typically resolves after childbirth, while pre-existing diabetes is a chronic condition that exists before pregnancy. Accurate coding requires distinguishing between the two based on the patient's medical history.
