Other pre-existing diabetes mellitus in pregnancy, third trimester
ICD-10 O24.813 is a billable code used to indicate a diagnosis of other pre-existing diabetes mellitus in pregnancy, third trimester.
O24.813 refers to cases where a patient has pre-existing diabetes mellitus that is not classified as type 1 or type 2 diabetes and is experiencing this condition during the third trimester of pregnancy. This condition requires careful management to mitigate risks to both the mother and fetus. Women with pre-existing diabetes may face complications such as hypertensive disorders, increased risk of cesarean delivery, and fetal macrosomia. Insulin management is crucial, as blood glucose levels must be closely monitored and controlled to prevent adverse outcomes. Fetal monitoring is also essential, as it helps assess fetal well-being and detect any potential complications early. Regular ultrasounds and non-stress tests may be employed to monitor fetal growth and heart rate patterns. The management of diabetes in pregnancy involves a multidisciplinary approach, including obstetricians, endocrinologists, and dietitians, to ensure optimal maternal and fetal health.
Detailed records of maternal health, diabetes management, and fetal monitoring are essential. Documentation should include glucose levels, insulin dosages, and any complications.
Patients with pre-existing diabetes presenting for routine prenatal visits, management of insulin therapy, and monitoring for fetal growth abnormalities.
Coders must ensure that all aspects of diabetes management are documented, including any changes in treatment plans and outcomes.
Comprehensive documentation of high-risk factors, including maternal age, weight, and any additional comorbidities.
High-risk pregnancies requiring specialized monitoring and interventions, such as frequent ultrasounds and non-stress tests.
Attention to detail in documenting the rationale for increased monitoring and interventions is crucial.
Used for routine follow-up visits for patients with pre-existing diabetes in pregnancy.
Document the patient's diabetes management, including glucose levels and any changes in treatment.
Obstetricians should ensure that all aspects of diabetes care are addressed during visits.
Used to monitor fetal growth in patients with pre-existing diabetes.
Document the findings of the ultrasound and any implications for management.
Maternal-fetal medicine specialists should provide detailed reports on fetal growth patterns.
Pre-existing diabetes refers to diabetes that was diagnosed before pregnancy, while gestational diabetes develops during pregnancy. Accurate coding is essential to differentiate between the two, as management and implications for maternal and fetal health differ significantly.
