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ICD-10 Guide
ICD-10 CodesO24.93

O24.93

Billable

Unspecified diabetes mellitus in the puerperium

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

Code Description

ICD-10 O24.93 is a billable code used to indicate a diagnosis of unspecified diabetes mellitus in the puerperium.

Key Diagnostic Point:

Unspecified diabetes mellitus in the puerperium refers to the presence of diabetes that occurs during the postpartum period, which can complicate recovery and affect maternal and neonatal health. This condition may arise from pre-existing diabetes or gestational diabetes that persists after childbirth. Management of diabetes in the puerperium is crucial as it can lead to complications such as infections, delayed wound healing, and increased risk of future diabetes. Insulin management is often necessary, particularly for women who were on insulin during pregnancy. Fetal monitoring during pregnancy is essential to assess the baby's growth and well-being, as uncontrolled diabetes can lead to macrosomia and other complications. Proper documentation of blood glucose levels, insulin usage, and any related complications is vital for accurate coding and management of care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in diabetes management protocols post-delivery
  • Differentiation between gestational diabetes and pre-existing diabetes
  • Need for detailed documentation of insulin therapy
  • Potential for multiple comorbidities affecting coding

Audit Risk Factors

  • Inadequate documentation of diabetes management
  • Failure to specify type of diabetes
  • Lack of follow-up care documentation
  • Inconsistent blood glucose monitoring records

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Documentation must include details of diabetes management, insulin usage, and any complications during the puerperium.

Common Clinical Scenarios

Postpartum patients with a history of gestational diabetes requiring insulin therapy.

Billing Considerations

Consideration of the patient's pre-pregnancy diabetes status and any complications that arose during pregnancy.

Maternal-Fetal Medicine

Documentation Requirements

Detailed records of maternal-fetal monitoring, including ultrasound findings and fetal growth assessments.

Common Clinical Scenarios

High-risk pregnancies with diabetes requiring multidisciplinary management.

Billing Considerations

Focus on the impact of diabetes on fetal development and maternal health during the postpartum period.

Coding Guidelines

Inclusion Criteria

Use O24.93 When
  • According to ICD
  • 10 guidelines, O24
  • 93 should be used when the type of diabetes is unspecified and the patient is in the puerperium
  • Coders must ensure that the documentation supports the diagnosis and reflects the patient's management plan

Exclusion Criteria

Do NOT use O24.93 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 to manage diabetes in the postpartum period.

Documentation Requirements

Documentation must include assessment of blood glucose levels and management plan.

Specialty Considerations

Obstetricians should ensure that diabetes management is clearly documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of diabetes conditions, improving the accuracy of diabetes management documentation in obstetric care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of diabetes conditions, improving the accuracy of diabetes management documentation in obstetric care.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of diabetes conditions, improving the accuracy of diabetes management documentation in obstetric care.

Resources

Clinical References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Coding & Billing References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Frequently Asked Questions

What is the significance of coding O24.93?

Coding O24.93 is significant as it reflects the management of diabetes during the postpartum period, which is crucial for maternal health and future diabetes risk. Accurate coding ensures appropriate care and follow-up for the patient.