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ICD-10 Guide
ICD-10 CodesO24.82

O24.82

Billable

Other pre-existing diabetes mellitus in childbirth

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

Code Description

ICD-10 O24.82 is a billable code used to indicate a diagnosis of other pre-existing diabetes mellitus in childbirth.

Key Diagnostic Point:

O24.82 refers to cases where a patient has pre-existing diabetes mellitus that complicates childbirth. This condition can significantly impact both maternal and fetal health, necessitating careful management throughout pregnancy and delivery. Women with pre-existing diabetes may experience various complications, including increased risk of preeclampsia, 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 to assess fetal well-being, particularly in cases where diabetes is poorly controlled. The management plan often involves a multidisciplinary approach, including obstetricians, endocrinologists, and dietitians, to ensure optimal care for both mother and child. Regular ultrasounds and non-stress tests may be employed to monitor fetal growth and health, while dietary modifications and insulin therapy are tailored to the individual needs of the patient.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variability in diabetes management protocols among patients
  • Need for frequent monitoring and adjustments in insulin therapy
  • Potential for multiple comorbid conditions affecting pregnancy
  • Documentation of blood glucose levels and management plans

Audit Risk Factors

  • Inadequate documentation of blood glucose monitoring
  • Failure to document insulin management changes
  • Lack of detailed notes on fetal monitoring results
  • Insufficient interdisciplinary communication records

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed records of maternal health, including diabetes management, fetal monitoring, and delivery outcomes.

Common Clinical Scenarios

Management of labor and delivery in women with pre-existing diabetes, including insulin administration and monitoring of fetal heart rate.

Billing Considerations

Accurate coding requires clear documentation of diabetes type, management strategies, and any complications encountered during labor.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of high-risk factors, including maternal diabetes management and fetal assessments.

Common Clinical Scenarios

High-risk pregnancies involving pre-existing diabetes, requiring specialized monitoring and intervention.

Billing Considerations

Focus on the coordination of care among specialists and the need for detailed documentation of all interventions and outcomes.

Coding Guidelines

Inclusion Criteria

Use O24.82 When
  • 10 coding guidelines specify that O24
  • 82 should be used when a patient with pre
  • existing diabetes is in the childbirth phase
  • Documentation must reflect the management of diabetes and any complications arising during labor and delivery

Exclusion Criteria

Do NOT use O24.82 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59400CPT Code

Obstetric care including antepartum, delivery, and postpartum care

Clinical Scenario

Used for comprehensive obstetric care in patients with pre-existing diabetes.

Documentation Requirements

Complete records of all visits, including diabetes management and fetal assessments.

Specialty Considerations

Obstetricians must ensure thorough documentation of diabetes management throughout the care continuum.

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 in pregnancy, improving the accuracy of patient records and facilitating better management strategies.

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

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

Resources

Clinical References

  • •
    American Diabetes Association: Diabetes and Pregnancy

Coding & Billing References

  • •
    American Diabetes Association: Diabetes and Pregnancy

Frequently Asked Questions

What is the difference between O24.82 and gestational diabetes codes?

O24.82 is used for patients with pre-existing diabetes that complicates childbirth, while gestational diabetes codes are used for diabetes that develops during pregnancy and typically resolves postpartum.