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v1.0.0
ICD-10 Guide
ICD-10 CodesO24.430

O24.430

Billable

Gestational diabetes mellitus in the puerperium, diet controlled

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/08/2025

Code Description

ICD-10 O24.430 is a billable code used to indicate a diagnosis of gestational diabetes mellitus in the puerperium, diet controlled.

Key Diagnostic Point:

Gestational diabetes mellitus (GDM) is a form of diabetes that occurs during pregnancy and typically resolves after childbirth. However, it can have lasting effects on both the mother and the infant. In the puerperium, which is the period following delivery, women with a history of GDM may continue to experience glucose intolerance. The management of GDM during this period often involves dietary modifications to maintain blood glucose levels within a normal range. Monitoring is crucial to prevent complications such as postpartum hemorrhage, infection, and the development of type 2 diabetes later in life. The condition requires careful documentation of dietary management strategies, blood glucose monitoring, and any follow-up care provided to ensure optimal maternal and infant health outcomes. It is essential for healthcare providers to educate patients about the importance of lifestyle changes and regular follow-up screenings for diabetes after delivery.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between gestational diabetes and pre-existing diabetes
  • Understanding the impact of diet control versus insulin management
  • Monitoring and documenting blood glucose levels accurately
  • Recognizing potential complications in the puerperium

Audit Risk Factors

  • Inadequate documentation of dietary management
  • Failure to document blood glucose monitoring results
  • Misclassification of gestational diabetes as type 2 diabetes
  • Lack of follow-up care documentation

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed records of dietary interventions, glucose monitoring, and postpartum follow-up visits.

Common Clinical Scenarios

Patients with a history of GDM requiring dietary counseling and monitoring in the postpartum period.

Billing Considerations

Ensure accurate coding for any complications arising from GDM during the puerperium.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of high-risk factors, including maternal age, BMI, and previous GDM history.

Common Clinical Scenarios

Management of high-risk pregnancies with GDM requiring multidisciplinary care.

Billing Considerations

Focus on the long-term implications of GDM for both mother and child.

Coding Guidelines

Inclusion Criteria

Use O24.430 When
  • Follow the official ICD
  • CM guidelines for coding gestational diabetes, ensuring that the diagnosis is clearly documented and that any related complications are coded appropriately
  • Use additional codes for any complications or coexisting conditions

Exclusion Criteria

Do NOT use O24.430 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits for patients with a history of GDM.

Documentation Requirements

Document the patient's glucose levels, dietary adherence, and any complications.

Specialty Considerations

Ensure that the visit is focused on diabetes management and postpartum care.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of gestational diabetes, improving the accuracy of data collection and reimbursement processes. O24.430 provides a clear distinction for cases managed through diet control, which is essential for tracking outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of gestational diabetes, improving the accuracy of data collection and reimbursement processes. O24.430 provides a clear distinction for cases managed through diet control, which is essential for tracking outcomes and resource allocation.

Reimbursement & Billing Impact

reimbursement processes. O24.430 provides a clear distinction for cases managed through diet control, which is essential for tracking outcomes and resource allocation.

Resources

Clinical References

  • •
    American Diabetes Association - Gestational Diabetes

Coding & Billing References

  • •
    American Diabetes Association - Gestational Diabetes

Frequently Asked Questions

What is the significance of coding O24.430?

Coding O24.430 accurately reflects the management of gestational diabetes in the postpartum period, ensuring that patients receive appropriate follow-up care and that healthcare providers are reimbursed for the services rendered.