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O24 vs O30

O24 (Diabetes mellitus in pregnancy, childbirth, and the puerperium) compared with O30 (Multiple gestation), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. O24 carries an Excludes2 note covering O30: “maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

O24Diabetes mellitus in pregnancy, childbirth, and the puerperiumO30Multiple gestation
Billing statusNon-billable header

Report instead: O24.011, O24.012, O24.013, O24.019, O24.02

Non-billable header

Report instead: O30.001, O30.002, O30.003, O30.009, O30.011

ClassificationO00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)
DefinitionDiabetes mellitus in pregnancy, childbirth, and the puerperium is a non-billable ICD-10-CM category code (O24).Multiple gestation is a non-billable ICD-10-CM category code (O30).
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources