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O24.415 vs O30

O24.415 (Gestational diabetes mellitus in pregnancy, controlled by oral hypoglycemic drugs) 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. O24.415 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

O24.415Gestational diabetes mellitus in pregnancy, controlled by oral hypoglycemic drugsO30Multiple 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)
DefinitionGestational diabetes mellitus in pregnancy, controlled by oral hypoglycemic drugs is a billable ICD-10-CM diagnosis code (O24.415).Multiple gestation is a non-billable ICD-10-CM category code (O30).
Includes
Gestational diabetes mellitus in pregnancy, controlled by oral antidiabetic drugs

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