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Compare/O24.119 vs O30

O24.119 vs O30

O24.119 (Pre-existing type 2 diabetes mellitus, in pregnancy, unspecified trimester) 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. O24.119 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

O24.119Pre-existing type 2 diabetes mellitus, in pregnancy, unspecified trimesterO30Multiple gestation
Billing statusBillableNon-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, unspecified trimester is a billable ICD-10-CM diagnosis code (O24.119).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