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ICD-10 Guide
ICD-10 CodesO24.02

O24.02

Billable

Pre-existing type 1 diabetes mellitus, in childbirth

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

Code Description

ICD-10 O24.02 is a billable code used to indicate a diagnosis of pre-existing type 1 diabetes mellitus, in childbirth.

Key Diagnostic Point:

Pre-existing type 1 diabetes mellitus in childbirth refers to the management of women who have been diagnosed with type 1 diabetes prior to pregnancy and are now in the labor and delivery phase. This condition requires careful monitoring and management to ensure both maternal and fetal health. Women with type 1 diabetes are at increased risk for complications such as preeclampsia, cesarean delivery, and neonatal hypoglycemia. Insulin management is crucial during labor, as blood glucose levels can fluctuate significantly. Continuous fetal monitoring is often employed to assess fetal well-being, as these pregnancies may be associated with higher rates of fetal distress. The healthcare team must coordinate closely to adjust insulin dosages and monitor for any signs of complications, ensuring a safe delivery for both mother and child.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Need for precise documentation of pre-existing conditions
  • Management of insulin therapy during labor
  • Monitoring for potential complications
  • Coordination between multiple healthcare providers

Audit Risk Factors

  • Inadequate documentation of diabetes management
  • Failure to document fetal monitoring results
  • Incorrect coding of complications related to diabetes
  • Lack of coordination notes among healthcare providers

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Documentation must include details of the patient's diabetes management plan, insulin dosages, and any complications encountered during labor.

Common Clinical Scenarios

Common scenarios include insulin adjustments during labor, management of hypoglycemia, and monitoring for fetal distress.

Billing Considerations

Coders must ensure that all aspects of diabetes management are documented, including any changes in treatment during labor.

Maternal-Fetal Medicine

Documentation Requirements

High-risk pregnancy documentation must include comprehensive assessments of both maternal and fetal health, including ultrasound findings and any interventions.

Common Clinical Scenarios

Complex scenarios may involve multiple comorbidities, requiring detailed documentation of the management plan.

Billing Considerations

High-risk coding requires an understanding of the implications of diabetes on pregnancy outcomes and the need for specialized care.

Coding Guidelines

Inclusion Criteria

Use O24.02 When
  • Coders should follow the official ICD
  • CM guidelines for obstetric coding, ensuring that the code reflects the patient's condition accurately and that all relevant documentation is included

Exclusion Criteria

Do NOT use O24.02 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59400CPT Code

Obstetrical delivery, vaginal

Clinical Scenario

Used when delivering a patient with pre-existing type 1 diabetes.

Documentation Requirements

Documentation must include details of the delivery method and any complications.

Specialty Considerations

Obstetricians must document the management of diabetes during labor.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of diabetes-related conditions, improving the accuracy of claims and facilitating better patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of diabetes-related conditions, improving the accuracy of claims and facilitating better patient management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of diabetes-related conditions, improving the accuracy of claims and facilitating better patient management.

Resources

Clinical References

  • •
    American Diabetes Association - Diabetes and Pregnancy

Coding & Billing References

  • •
    American Diabetes Association - Diabetes and Pregnancy

Frequently Asked Questions

What is the significance of coding O24.02 accurately?

Accurate coding of O24.02 is crucial for ensuring appropriate care management for patients with pre-existing type 1 diabetes during childbirth. It impacts reimbursement, care coordination, and the overall quality of care provided.