Pre-existing type 2 diabetes mellitus, in pregnancy, second trimester
ICD-10 O24.112 is a billable code used to indicate a diagnosis of pre-existing type 2 diabetes mellitus, in pregnancy, second trimester.
Pre-existing type 2 diabetes mellitus in pregnancy poses unique challenges for both maternal and fetal health. During the second trimester, the physiological changes in a pregnant woman can significantly affect glucose metabolism. Insulin resistance typically increases, necessitating careful monitoring and management of blood glucose levels. Women with pre-existing type 2 diabetes are at higher risk for complications such as preeclampsia, macrosomia, and neonatal hypoglycemia. Regular fetal monitoring is essential to assess fetal growth and well-being, often involving ultrasound assessments and non-stress tests. Management may include dietary modifications, blood glucose monitoring, and insulin therapy adjustments to maintain optimal glycemic control. Close collaboration among obstetricians, endocrinologists, and dietitians is crucial to ensure the health of both mother and baby throughout the pregnancy.
Documentation must include detailed accounts of maternal health, diabetes management, and any complications arising during pregnancy.
Management of a pregnant patient with type 2 diabetes requiring insulin therapy adjustments and regular fetal monitoring.
Consideration of the patient's pre-existing condition in the context of pregnancy-related changes and potential complications.
Comprehensive documentation of high-risk factors, including maternal and fetal assessments, and management plans.
Monitoring a patient with type 2 diabetes for signs of fetal distress or growth abnormalities.
Focus on the coordination of care among specialists to manage the complexities of high-risk pregnancies.
Used for routine follow-up visits for a patient with pre-existing diabetes during pregnancy.
Documentation must include assessment of diabetes management and any complications.
Obstetricians should ensure that all aspects of diabetes care are addressed during visits.
Accurate coding of O24.112 is crucial for ensuring appropriate management of the patient's diabetes during pregnancy, which can significantly impact both maternal and fetal health outcomes. It also affects reimbursement and quality of care metrics.
