Unspecified diabetes mellitus in pregnancy, first trimester
ICD-10 O24.911 is a billable code used to indicate a diagnosis of unspecified diabetes mellitus in pregnancy, first trimester.
Unspecified diabetes mellitus in pregnancy during the first trimester refers to a condition where a pregnant woman exhibits symptoms of diabetes but does not have a specific type identified, such as gestational diabetes or pre-existing diabetes. This condition can lead to various complications for both the mother and fetus, including increased risk of hypertensive disorders, preterm birth, and fetal macrosomia. Management typically involves monitoring blood glucose levels, dietary modifications, and possibly insulin therapy. Close fetal monitoring is essential to assess the well-being of the fetus and to mitigate risks associated with maternal diabetes. The first trimester is a critical period for fetal development, making early diagnosis and management crucial to ensure positive outcomes for both mother and child.
Documentation must include detailed patient history, current management strategies, and any complications arising from diabetes.
A patient diagnosed with diabetes prior to pregnancy presenting for prenatal care, or a patient with newly diagnosed diabetes during the first trimester.
Accurate coding requires clear differentiation between types of diabetes and thorough documentation of treatment plans.
High-risk pregnancy documentation must include comprehensive assessments of maternal and fetal health, including ultrasound findings and glucose monitoring.
Patients with a history of diabetes presenting for high-risk obstetric management or those requiring insulin therapy.
Special attention to fetal growth and development is necessary, along with detailed documentation of any interventions.
Used for initial prenatal visits where diabetes is diagnosed or managed.
Documentation must include patient history, examination findings, and management plans.
Obstetricians should ensure that all diabetes-related assessments are clearly documented.
Accurate coding of O24.911 is crucial for ensuring appropriate management of diabetes in pregnancy, which can significantly impact maternal and fetal health. It also affects reimbursement and quality of care metrics.
