what is the icd 10 code for glucose for pregnancy

by Matilda Jast 10 min read

ICD-10 Code for Abnormal glucose complicating pregnancy- O99. 810- Codify by AAPC.

What is the ICD 10 code for high risk pregnancy?

  • O00–O08, Pregnancy with abortive outcome
  • O09, Supervision of high-risk pregnancy
  • O10–O16, Edema, proteinuria, and hypertensive disorders in pregnancy, childbirth, and the puerperium
  • O20–O29, Other maternal disorders predominantly related to pregnancy
  • O30–O48, Maternal care related to the fetus and amniotic cavity and possible delivery problems

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What is the ICD 10 code for obesity in pregnancy?

  • E66.0 Obesity due to excess calories E66.01 Morbid (severe) obesity due to excess calories E66.09 Other obesity due to excess calories
  • E66.1 Drug-induced obesity
  • E66.2 Morbid (severe) obesity with alveolar hypoventilation
  • E66.3 Overweight
  • E66.8 Other obesity
  • E66.9 Obesity, unspecified

What is the normal range of glucose in pregnancy?

  • Fasting blood sample: Higher than 95 mg/dL (5.3 mmol/L)
  • 1-hour blood sample: Higher than 180 mg/dL (10.0 mmol/L)
  • 2-hour blood sample: Higher than 155 mg/dL (8.6 mmol/L)
  • 3-hour blood sample: Higher than 140 mg/dL (7.8 mmol/L).

What is the normal blood sugar level for pregnancy?

If the result is:

  • Below 7.8 mmol/L, the test is normal.
  • Above 11.0 mmol/L, it is gestational diabetes.
  • If it is between 7.8 and 11.0 mmol/L, the attending physician will ask for a second blood test measuring fasting blood glucose (sugar) levels, then for blood tests taken 1 ...
  • 5.3 mmol/L fasting
  • 10.6 mmol/L 1 hour after drinking the sugary liquid

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What is the ICD-10 code for glucose?

ICD-10 Code for Other abnormal glucose- R73. 09- Codify by AAPC.

What is glucose pregnancy?

A glucose screening test is a routine test during pregnancy that checks a pregnant woman's blood glucose (sugar) level. Gestational diabetes is high blood sugar (diabetes) that starts or is found during pregnancy.

What is an icd10 code for gestational diabetes?

ICD-10 Code for Gestational diabetes mellitus in pregnancy, unspecified control- O24. 419- Codify by AAPC.

How do you code gestational diabetes?

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.

Do you have to do the glucose test when pregnant?

Doctors recommend having a glucose test for gestational diabetes, but it's not mandatory.

What is the 3 hour glucose test?

3-Hour Glucose Tolerance Test. This test is done to evaluate how your body is processing sugar and to determine if you have developed Gestational Diabetes (Diabetes of Pregnancy). The test requires a total of four blood draws.

What is the ICD-10-CM code for type 2 diabetes in pregnancy first trimester?

ICD-10 Code for Pre-existing type 2 diabetes mellitus, in pregnancy, first trimester- O24. 111- Codify by AAPC.

What is the ICD-10 code for each type of diabetes?

ICD-9 to ICD-10 Codes for Diabetes Conversion TableICD-9ICD-10249.00E08.9 or E09.9 or E13.9249.01Aug 7, 2016

Can you code E11 21 and E11 22 together?

The incorrect portion of the response came as an aside at the end, where it was stated that “it would be redundant to assign codes for both diabetic nephropathy (E11. 21) and diabetic chronic kidney disease (E11. 22), as diabetic chronic kidney disease is a more specific condition.” It is true you wouldn't code both.

When do you code E11 59?

ICD-10 Code for Type 2 diabetes mellitus with other circulatory complications- E11. 59- Codify by AAPC.

What is the ICd 10 code for diabetes mellitus?

Z13.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. This is the American ICD-10-CM version of Z13.1 - other international versions of ICD-10 Z13.1 may differ. Approximate Synonyms Screening for diabetes mellitus Screening for diabetes mellitus done Present On Admission Z13.1 is considered exempt from POA reporting. ICD-10-CM Z13.1 is grouped within Diagnostic Related Group (s) (MS-DRG v35.0): Code History 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM) 2017 (effective 10/1/2016): No change 2018 (effective 10/1/2017): No change Code annotations containing back-references to Z13.1: Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. Continue reading >>

What is the ICd 10 code for a maternity patient?

2016 2017 2018 Billable/Specific Code Maternity Dx (12-55 years) Female Dx O99.810 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018 edition of ICD-10-CM O99.810 became effective on October 1, 2017. This is the American ICD-10-CM version of O99.810 - other international versions of ICD-10 O99.810 may differ. O99.810 is applicable to maternity patients aged 12 - 55 years inclusive. O99.810 is applicable to female patients. The following code (s) above O99.810 contain annotation back-references In this context, annotation back-references refer to codes that contain: CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes) Trimesters are counted from the first day of the last menstrual period. They are defined as follows: 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days 3rd trimester- 28 weeks 0 days until delivery supervision of normal pregnancy ( Z34.- ) code from category Z3A , Weeks of gestation, to identify the specific week of the pregnancy, if known. Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium 2016 2017 2018 Non-Billable/Non-Specific Code conditions which complicate the pregnant state, are aggravated by the pregnancy or are a main reason for obstetric care when the reason for maternal care is that the condition is known or suspected to have affected the fetus ( O35 - O36 ) Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium Other specified diseases and conditions complicating pregnancy, Continue reading >>

What is the unspecified trimester code?

Each category that includes codes for trimester has a code for "unspecified trimester.". The "unspecified trimester" code should rarely be used, such as when the documentation in the record is .......................... insufficient to determine the trimester and it is not possible to obtain clarification.

What is the code for pregnancy incidental?

Should the provider document that the pregnancy is incidental to the encounter, then ..................... code Z33.1, Pregnant state, incidental, should be used in place of any chapter 15 codes. Assignment of the final character for trimester should be based on the provider's documentation of the trimester (or number of weeks) for the current admission/encounter. This applies to the assignment of trimester for .................... as well as those that develop during or are due to the pregnancy. Whenever delivery occurs during the current admission, and there is an ................ option for the obstetric complication being coded, the ............... code should be assigned. Selection of trimester for inpatient admissions that In instances when a patient is admitted to a hospital for complications of pregnancy during one trimester and remains in the hospital into a subsequent trimester, the trimester character for the antepartum complication code should be assigned on the basis of the trimester ................, not the trimester ................ If the condition developed prior to the current admission/encounter or represents a pre-existing condition, the trimester character for the trimester ....................should be assigned. Each category that includes codes for trimester has a code for "unspecified trimester." The "unspecified trimester" code should rarely be used, such as when the documentation in the record is .......................... insufficient to determine the trimester and it is not possible to obtain clarification. Where applicable, a 7th character is to be assigned for certain categories (O31, O32, O33.3 - O33.6, O35, O36, O40, O41, O60.1, O60.2, O64, and O69) to identify the fetus for which the complication code applies. When the documentation in Continue reading >>

What are the complications of a 37 week pregnancy?

Possible complications include Preterm (premature) labor, when labor starts before 37 completed weeks of pregnancy Problems with the position of the baby, such as breech, in which the baby is going to come out feet first For some of these problems, the baby may need to be delivered surgically by a Cesarean section.

Where does glucose come from?

Glucose comes from the foods you eat . Insulin is a hormone that helps the glucose get into your cells to give them energy. With type 1 diabetes, your body does not make insulin. With type 2 diabetes, the more common type, your body does not make or use insulin well.

When is the best time to check blood sugar?

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.

What is the code for gestational diabetes?

Codes for gestational diabetes are found in subcategory O24.4 Gestational diabetes mellitus. 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.

What is diabetes mellitus?

Diabetes mellitus is a condition characterized by high blood sugars, either because the person does not produce enough insulin, or because the cells do not respond to the insulin that is produced. There are three main types of diabetes mellitus (DM).

What is the third type of diabetes?

The third type is gestational diabetes and occurs when pregnant women without a previous diagnosis of diabetes develop high blood glucose levels. Currently, using ICD-9-CM, if a diabetic patient becomes pregnant, a code from 648.0x Diabetes mellitus complicating pregnancy and a secondary code from category 250 Diabetes mellitus or category 249 ...

What is the name of the type of diabetes that occurs when the body fails to produce enough insulin?

There are three main types of diabetes mellitus (DM). Type I DM occurs when the body fails to produce enough insulin, and as a result, the person is required to take insulin. This form was previously referred to as “insulin-dependent diabetes mellitus” (IDDM) or “juvenile diabetes”.

What is Type 2 diabetes?

Type 2 DM results from insulin resistance, a condition in which cells fail to use insulin properly. Type 2 was previously referred to as non insulin-dependent diabetes mellitus (NIDDM) or “adult-onset diabetes”. The third type is gestational diabetes and occurs when pregnant women without a previous diagnosis of diabetes develop high blood glucose ...

What chapter is ICD 10 for pregnancy?

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.

What is the code for ectopic pregnancy?

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.

What is the code for Galactorrhea?

Galactorrhea. Other obstetric conditions, not elsewhere classified (Code range O94-O9A) Sequelae (Late effects) of complication of pregnancy, childbirth, and the puerperium (O94)- Includes conditions or late effects that may occur any time after the puerperium.

What is the code for velamentous insertion of the umbilical cord?

Morbidly adherent placenta (Placenta accrete, Placenta increta, Placenta percreta) Placental infarction. Placenta previa (Code range O44.00- O44.53)- Condition in which the placenta is implanted in the lower parts of the uterus.

What is the code for hydatidiform mole?

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.

What is the code for a hospital visit that is not pregnancy related?

If the provider has documented that the pregnancy is incidental to the visit, which means that the reason for the visit was not pregnancy related and the provider did not care for the pregnancy, the code to be used is Z33.1, Pregnant state, incidental and not the chapter 15 codes.

When should the code for a C section be sequenced first?

If the patient is admitted with a pregnancy complication which necessitated a Cesarean delivery, the code for the complication should be sequenced first. But if the reason for admission was different from the reason for the C-section, the reason for the admission will be sequenced first.

What is the ICD code for gestational diabetes mellitus?

Use a child code to capture more detail. ICD Code O24.41 is a non-billable code.

What is the ICd 10 code for diabetes mellitus?

Z13.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. This is the American ICD-10-CM version of Z13.1 - other international versions of ICD-10 Z13.1 may differ. Approximate Synonyms Screening for diabetes mellitus Screening for diabetes mellitus done Present On Admission Z13.1 is considered exempt from POA reporting. ICD-10-CM Z13.1 is grouped within Diagnostic Related Group (s) (MS-DRG v35.0): Code History 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM) 2017 (effective 10/1/2016): No change 2018 (effective 10/1/2017): No change Code annotations containing back-references to Z13.1: Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. Continue reading >>

How many ICD-10 codes are there for pregnancy?

There is more than one ICD 10 code for pregnancy. In fact, there are twice as many obstetrical codes in ICD-10-CM (2,155) as in ICD-9 (1,104). These new codes add specificity to the characterization of obstetrical conditions. The ICD-10-CM obstetric codes are listed in Chapter 15. These codes have sequencing priority over those from other chapters and start with the letter O, (not the number zero). Unlike the ICD-9 codes, ICD-10-CM obstetrical codes are not divided by antepartum, delivery, and postpartum status, but most new codes indicate the trimester of pregnancy in their final character. An additional code from category Z3A should be used to define specific weeks of gestation (eg, Z3A.42 would indicate 42 weeks gestation). The Z codes connote reasons for encounters in the ICD-10 system. Codes for supervision of normal pregnancy (Z34.-) are used only for patients who have no conditions complicating maternal or obstetric care. Codes in category Z34 are subclassified as normal first pregnancy (Z34.0-), other normal pregnancy (Z34.1-), and normal pregnancy unspecified (Z34.9-). A fourth character is required to identify the trimester. Prenatal visit coding First, compare and contrast the code choices for a typical prenatal visit for a woman having a normal first pregnancy.In ICD-9-CM, you would report V22.0 (supervision of normal first pregnancy).ICD-10-CM gives you these four choices: Greater than 42 weeks gestation of pregnancy Routine office visits during uncomplicated pregnancies require a code from category Z34 (Encounter for supervision of normal pregnancy) as the first diagnosis, but no codes from Chapter 15. When a patient has had a full-term uncomplicated delivery of a healthy singleton fetus following an uncomplicated pregnancy and postpartum course, code O80 Continue reading >>

Why does gestational diabetes cause elevated blood sugar levels?

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 >>.

What is the code for diabetes?

The code Z13.1 is exempt from POA reporting. Diabetes is a disease in which your blood glucose, or blood sugar, levels are too high. Glucose comes from the foods you eat. Insulin is a hormone that helps the glucose get into your cells to give them energy. With type 1 diabetes, your body does not make insulin. With type 2 diabetes, the more common type, your body does not make or use insulin well. Without enough insulin, the glucose stays in your blood. You can also have prediabetes. This means that your blood sugar is higher than normal but not high enough to be called diabetes. Having prediabetes puts you at a higher risk of getting type 2 diabetes. Over time, having too much glucose in your blood can cause serious problems. It can damage your eyes, kidneys, and nerves. Diabetes can also cause heart disease, stroke and even the need to remove a limb. Pregnant women can also get diabetes, called gestational diabetes. Blood tests can show if you have diabetes. One type of test, the A1C, can also check on how you are managing your diabetes. Exercise, weight control and sticking to your meal plan can help control your diabetes. You should also monitor your blood glucose level and take medicine if prescribed. NIH: National Institute of Diabetes and Digestive and Kidney Diseases Blood sugar test - blood (Medical Encyclopedia) Choose More than 50 Ways to Prevent Type 2 Diabetes - NIH - Easy-to-Read (National Diabetes Education Program) Diabetes - keeping active (Medical Encyclopedia) Diabetes - low blood sugar - self-care (Medical Encyclopedia) Diabetes - tests and checkups (Medical Encyclopedia) Diabetes - when you are sick (Medical Encyclopedia) Diabetes and exercise (Medical Encyclopedia) Giving an insulin injection (Medical Encyclopedia) Continue reading >>

Does diabetes go away after birth?

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.

When is the best time to control blood sugar?

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.

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Classification

Contraindications

  • Currently, using ICD-9-CM, if a diabetic patient becomes pregnant, a code from 648.0x Diabetes mellitus complicating pregnancy and a secondary code from category 250 Diabetes mellitus or category 249 Secondary diabetes should be assigned to identify the type of diabetes. If the diabetes is being treated with insulin, then code V58.67 Long-term (current) use of insulin shoul…
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Miscellaneous

  • There are similarities to coding in ICD-10-CM, but there is a significant difference when coding for gestational diabetes.
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Medical uses

  • 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 us...
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Examples

  • Codes for gestational diabetes are found in subcategory O24.4 Gestational diabetes mellitus. 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 fro…
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Diagnosis

  • There is a difference between gestational diabetes and abnormal glucose tolerance in pregnancy. 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.
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Risks

  • Diabetes can complicate a pregnancy but it doesnt need to cause complications for coding, if you follow the guidelines.
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