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O24.11 vs O30

O24.11 (Pre-existing type 2 diabetes mellitus, in pregnancy) 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. O24.11 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

O24.11Pre-existing type 2 diabetes mellitus, in pregnancyO30Multiple gestation
Billing statusNon-billable headerNon-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)
DefinitionPre-existing type 2 diabetes mellitus, in pregnancy is a non-billable ICD-10-CM category code (O24.11).Multiple gestation is a non-billable ICD-10-CM category code (O30).
Use additional code
code (for):
from category E11 to further identify any manifestations
injectable non-insulin antidiabetic drugs (Z79.85)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources