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ICD-10 Guide
ICD-10 CodesO24.92

O24.92

Billable

Unspecified diabetes mellitus in childbirth

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

Code Description

ICD-10 O24.92 is a billable code used to indicate a diagnosis of unspecified diabetes mellitus in childbirth.

Key Diagnostic Point:

Unspecified diabetes mellitus in childbirth refers to the presence of diabetes during the period of labor and delivery, where the specific type of diabetes (such as gestational diabetes or pre-existing diabetes) is not clearly documented. This condition can lead to various complications for both the mother and the fetus, including increased risk of cesarean delivery, macrosomia (large baby), and neonatal hypoglycemia. Management of diabetes during childbirth typically involves careful monitoring of blood glucose levels, insulin administration if necessary, and fetal monitoring to assess the well-being of the fetus. The healthcare team must ensure that the mother’s blood sugar levels are maintained within a target range to minimize risks during delivery. Proper documentation is crucial to capture the complexity of managing diabetes in the obstetric setting, including any interventions or complications that arise during labor.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of diabetes type and management
  • Need for precise blood glucose monitoring records
  • Potential for multiple comorbidities affecting pregnancy
  • Variations in treatment protocols based on diabetes type

Audit Risk Factors

  • Inadequate documentation of diabetes management during labor
  • Failure to specify type of diabetes when known
  • Lack of clear fetal monitoring records
  • Inconsistent blood glucose level documentation

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Documentation must include details of diabetes management, blood glucose levels, and any interventions during labor.

Common Clinical Scenarios

A patient with a history of gestational diabetes presenting for delivery, requiring insulin management.

Billing Considerations

Coders must ensure that all relevant details about diabetes management are captured to support the diagnosis.

Maternal-Fetal Medicine

Documentation Requirements

High-risk pregnancy documentation must include comprehensive details about maternal and fetal health, including diabetes management.

Common Clinical Scenarios

Complex cases involving pre-existing diabetes with additional risk factors such as hypertension.

Billing Considerations

High-risk scenarios require meticulous documentation to justify the complexity of care provided.

Coding Guidelines

Inclusion Criteria

Use O24.92 When
  • Coders should adhere to the official ICD
  • CM guidelines for obstetric coding, ensuring that the documentation supports the diagnosis of unspecified diabetes mellitus in childbirth
  • It is essential to capture any related complications or interventions that occur during labor

Exclusion Criteria

Do NOT use O24.92 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59400CPT Code

Routine obstetric care including antepartum care, delivery, and postpartum care

Clinical Scenario

Used for comprehensive care of a patient with diabetes during pregnancy and delivery.

Documentation Requirements

Complete records of all visits, assessments, and interventions related to diabetes management.

Specialty Considerations

Obstetricians must document all aspects of care, especially concerning 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 in pregnancy, improving the accuracy of data collection and reimbursement processes. O24.92 provides a means to capture unspecified diabetes cases, which may have been underrepresented in ICD-9.

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 data collection and reimbursement processes. O24.92 provides a means to capture unspecified diabetes cases, which may have been underrepresented in ICD-9.

Reimbursement & Billing Impact

reimbursement processes. O24.92 provides a means to capture unspecified diabetes cases, which may have been underrepresented in ICD-9.

Resources

Clinical References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Coding & Billing References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Frequently Asked Questions

What should I document for a patient with unspecified diabetes in childbirth?

Document all aspects of diabetes management, including blood glucose levels, insulin administration, and any complications that arise during labor. Ensure that fetal monitoring details are also included to support the diagnosis.