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ICD-10 Guide
ICD-10 CodesO24.83

O24.83

Billable

Other pre-existing diabetes mellitus in the puerperium

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

Code Description

ICD-10 O24.83 is a billable code used to indicate a diagnosis of other pre-existing diabetes mellitus in the puerperium.

Key Diagnostic Point:

O24.83 refers to cases of pre-existing diabetes mellitus that complicate the puerperium period, which is the time following childbirth. This condition can significantly impact maternal and fetal health. Women with pre-existing diabetes may experience various complications during pregnancy, including increased risk of hypertensive disorders, infections, and poor wound healing post-delivery. Insulin management is crucial during this period, as blood glucose levels must be closely monitored to prevent hypoglycemia or hyperglycemia, which can adversely affect both the mother and the newborn. Fetal monitoring is also essential, as infants born to mothers with diabetes are at risk for macrosomia, neonatal hypoglycemia, and other metabolic disturbances. Proper management and monitoring can help mitigate these risks, ensuring better outcomes for both mother and child.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of diabetes (Type 1, Type 2, gestational)
  • Understanding the impact of diabetes on pregnancy and puerperium
  • Insulin management protocols and their documentation
  • Fetal monitoring requirements and associated risks

Audit Risk Factors

  • Inadequate documentation of diabetes management during the puerperium
  • Failure to document fetal monitoring results
  • Misclassification of diabetes type
  • Lack of clear linkage between diagnosis and treatment provided

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed records of maternal glucose levels, insulin dosages, and any complications during the puerperium.

Common Clinical Scenarios

Management of a diabetic patient post-cesarean section, monitoring for infection and healing.

Billing Considerations

Ensure that all diabetes-related complications are documented to support the coding.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of high-risk factors, including maternal age, pre-existing conditions, and fetal monitoring results.

Common Clinical Scenarios

High-risk pregnancies requiring specialized monitoring and intervention.

Billing Considerations

Focus on the interplay between maternal diabetes and fetal outcomes, ensuring all relevant data is captured.

Coding Guidelines

Inclusion Criteria

Use O24.83 When
  • Follow the ICD
  • CM guidelines for coding diabetes in pregnancy, ensuring that the specific type of diabetes is documented and that the puerperium is clearly indicated
  • Use additional codes for any complications arising from diabetes

Exclusion Criteria

Do NOT use O24.83 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 during pregnancy.

Documentation Requirements

Document blood glucose levels, insulin adjustments, and any complications.

Specialty Considerations

Ensure that the visit is clearly linked to diabetes management.

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 through detailed documentation requirements.

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 through detailed documentation requirements.

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 through detailed documentation requirements.

Resources

Clinical References

  • •
    American College of Obstetricians and Gynecologists (ACOG) Guidelines

Coding & Billing References

  • •
    American College of Obstetricians and Gynecologists (ACOG) Guidelines

Frequently Asked Questions

What is the difference between O24.83 and gestational diabetes codes?

O24.83 is used for patients with pre-existing diabetes that complicates the puerperium, while gestational diabetes codes (like O24.4) are for diabetes that develops during pregnancy and typically resolves after delivery.