Gestational diabetes mellitus in pregnancy, insulin controlled
ICD-10 O24.414 is a billable code used to indicate a diagnosis of gestational diabetes mellitus in pregnancy, insulin controlled.
Gestational diabetes mellitus (GDM) is a form of diabetes that develops during pregnancy and typically resolves after childbirth. It occurs when the body cannot produce enough insulin to meet the increased demands during pregnancy, leading to elevated blood glucose levels. Insulin-controlled gestational diabetes indicates that the condition is being managed with insulin therapy, which is often necessary when dietary modifications and exercise alone are insufficient to maintain normal blood glucose levels. Proper management is crucial to minimize risks to both the mother and fetus, including macrosomia, preterm birth, and the development of type 2 diabetes later in life. Regular fetal monitoring is essential to assess the well-being of the fetus, as well as to adjust insulin dosages based on maternal blood glucose readings. Healthcare providers must ensure that patients receive education on self-monitoring of blood glucose, dietary management, and the importance of adhering to treatment plans to achieve optimal outcomes.
Detailed records of blood glucose levels, insulin dosages, and dietary modifications are essential for accurate coding.
Patients diagnosed with GDM requiring insulin therapy, routine prenatal visits with glucose monitoring, and delivery planning.
Consideration of potential complications such as preeclampsia or fetal macrosomia that may arise from poorly managed GDM.
Comprehensive documentation of high-risk factors, including maternal obesity, previous GDM history, and current management strategies.
Management of GDM in patients with additional risk factors, close monitoring of fetal growth, and planning for delivery.
High-risk patients may require more frequent monitoring and adjustments to insulin therapy based on fetal assessments.
Used during routine follow-up visits for GDM management.
Documentation of blood glucose levels, insulin management, and patient education.
Obstetricians should ensure comprehensive notes on the patient's progress and any adjustments to treatment.
O24.414 is used when gestational diabetes is managed with insulin, while O24.413 is for cases controlled by diet alone. Accurate coding depends on the management strategy employed.
