For diagnosed gestational diabetes mellitus, codes from subcategory O24. 4, Gestational diabetes mellitus, should be assigned. No other code from category O24, Diabetes mellitus in pregnancy, childbirth, and the puerperium, should be used with a code from O24.
What is gestational diabetes mellitus? Gestational diabetes mellitus (GDM) is a condition in which a hormone made by the placenta prevents the body from using insulin effectively. Glucose builds up in the blood instead of being absorbed by the cells.
chapter 15Obstetric cases require diagnosis codes from chapter 15 of ICD-10-CM, “Pregnancy, Childbirth, and the Puerperium.” It includes categories O00–O9A arranged in the following blocks: O00–O08, Pregnancy with abortive outcome. O09, Supervision of high-risk pregnancy.
Pregnant state, incidental1 Pregnant state, incidental.
Key Points. Diabetes in pregnancy increases risk of fetal macrosomia, shoulder dystocia, preeclampsia, cesarean delivery, stillbirth, and, if preexisting or gestational diabetes is poorly controlled during organogenesis, major congenital malformations and spontaneous abortion.
Poor control of diabetes during pregnancy increases the chances for birth defects and other problems for the baby. It can also cause serious complications for the woman. Proper health care before and during pregnancy can help prevent birth defects and other health problems.
Z34. 90 - Encounter for supervision of normal pregnancy, unspecified, unspecified trimester. ICD-10-CM.
ICD-10 Code for Encounter for supervision of normal pregnancy, unspecified- Z34. 9- Codify by AAPC.
The only exception to this is if a pregnant woman is seen for an unrelated condition. In such cases, code Z33. 1 Pregnant State, Incidental should be used after the primary reason for the visit.
Code Z33. 1 This code is a secondary code only for use when the pregnancy is in no way complicating the reason for visit. Otherwise, a code from the obstetric chapter is required.
ICD-10 Code for Encounter for supervision of normal pregnancy, unspecified, first trimester- Z34. 91- Codify by AAPC.
Z33. 1 - Pregnant state, incidental. ICD-10-CM.
What is gestational diabetes? Gestational diabetes is a type of diabetes that happens during pregnancy. Unlike type 1 diabetes, gestational diabetes is not caused by having too little insulin. Instead a hormone made by your placenta keeps your body from using the insulin as it should.
Women diagnosed with GDM in early pregnancy, before insulin resistance begins to rise[62,63], are likely to have a greater degree of hyperglycaemia, and therefore an increased likelihood of progression to abnormal glucose tolerance/diabetes.
The 2022 edition of ICD-10-CM O24 became effective on October 1, 2021.
code from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known. The state of pregnancy in women with diabetes mellitus. This does not include either symptomatic diabetes or glucose intolerance induced by pregnancy (diabetes, gestational) which resolves at the end of pregnancy.
Trimesters are counted from the first day of the last menstrual period. They are defined as follows: 1st trimester- less than 14 weeks 0 days. 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days. 3rd trimester- 28 weeks 0 days until delivery. Type 1 Excludes. supervision of normal pregnancy ( Z34.-)
If a patient develops gestational diabetes during their pregnancy, according to ICD-9-CM, a code from 648.8x Abnormal glucose tolerance is applied. Again, if insulin is used to treat gestational diabetes, code V58.67 Long-term (current) use of insulin is assigned.
Using ICD-10-CM, women who are diabetic and become pregnant should be assigned a code from category O24 Diabetes mellitus in pregnancy, childbirth, and the puerperium first, followed by the appropriate diabetes code (s) (E08-E13) from Chapter 4. This is similar to how codes are assigned currently using ICD-9-CM. There is also a code for long-term use of insulin in ICD-10-CM, Z79.4 Long-term (current) use of insulin and it should be assigned if the diabetes mellitus is being treated with insulin.
Careful documentation will ensure accurate coding. Abnormal glucose is assigned a code from subcategory O99.81 Abnormal glucose complicating pregnancy, childbirth, and the puerperium in ICD-10-CM.
The codes under subcategory O24.4 include diet controlled and insulin controlled. If a patient with gestational diabetes is treated with both diet and insulin, only the code for insulin-controlled is required. Code Z79.4 Long-term (current) use of insulin, should not be assigned with codes from subcategory O24.4.
Diabetes can complicate a pregnancy but it doesn’t need to cause complications for coding, if you follow the guidelines.
The Pregnancy ICD 10 code belong to the Chapter 15 – Pregnancy, Childbirth, and the Puerperium of the ICD-10-CM and these codes take sequencing priority over all the other chapter codes.
Complications following (induced) termination of pregnancy (Code range- O04.5 – O04.89) – This includes the complications followed by abortions that are induced intentionally.
The chapter 15- Pregnancy, Childbirth, and the Puerperium codes can be used only to code the maternal records and never the newborn records.
Pre-existing hypertension complicating pregnancy, childbirth and the puerperium (Code range- O10.011-O10.93) – A pregnancy complication arising due to the patient being hypertensive, having proteinuria (increased levels of protein in urine), hypertensive heart disease, hypertensive CKD or both prior to the pregnancy.
A high-risk pregnancy is a threat to the health and the life of the mother and the fetus.
Hydatidiform mole (Code range- O01.0 – O01.9) – Also known as molar pregnancy is an abnormal fertilized egg or a non-cancerous tumor of the placental tissue which mimics a normal pregnancy initially but later leads to vaginal bleeding along with severe nausea and vomiting.
Ectopic pregnancy (Code range- O00.00 – O00.91) – This is a potentially life-threatening condition in which the fertilize egg is implanted outside the uterus, usually in one of the fallopian tubes or occasionally in the abdomen or ovaries.
Use a child code to capture more detail. ICD Code O24.41 is a non-billable code. To code a diagnosis of this type, you must use one of the three child codes of O24.41 that describes the diagnosis 'gestational diabetes mellitus in pregnancy' in more detail. The ICD code O24 is used to code Gestational diabetes Gestational diabetes also known as gestational diabetes mellitus (GDM), is a condition in which women without previously diagnosed diabetes exhibit high blood glucose (blood sugar) levels during pregnancy (especially during their third trimester). Gestational diabetes is caused when insulin receptors do not function properly. This is likely due to pregnancy-related factors such as the presence of human placental lactogen that interferes with susceptible insulin receptors. This in turn causes inappropriately elevated blood sugar levels. Continue reading >>
Diabetes is a disease in which your blood glucose, or blood sugar, levels are too high. When you are pregnant, high blood sugar levels are not good for your baby. About seven out of every 100 pregnant women in the United States get gestational diabetes. Gestational diabetes is diabetes that happens for the first time when a woman is pregnant. Most of the time, it goes away after you have your baby. But it does increase your risk for developing type 2 diabetes later on. Your child is also at risk for obesity and type 2 diabetes. Most women get a test to check for diabetes during their second trimester of pregnancy. Women at higher risk may get a test earlier. If you already have diabetes, the best time to control your blood sugar is before you get pregnant. High blood sugar levels can be harmful to your baby during the first weeks of pregnancy - even before you know you are pregnant. To keep you and your baby healthy, it is important to keep your blood sugar as close to normal as possible before and during pregnancy. Either type of diabetes during pregnancy increases the chances of problems for you and your baby. To help lower the chances talk to your health care team about Taking your medicine as prescribed. Your medicine plan may need to change during pregnancy. NIH: National Institute of Diabetes and Digestive and Kidney Diseases Diabetes diet - gestational (Medical Encyclopedia) Did You Have Gestational Diabetes When You Were Pregnant? What You Need to Know - NIH - Easy-to-Read (National Diabetes Education Program) Gestational diabetes (Medical Encyclopedia) Gestational diabetes - self-care (Medical Encyclopedia) Glucose screening and tolerance tests during pregnancy (Medical Encyclopedia) Infant of diabetic mother (Medical Encyclopedia) Continue reading >>