O24 ICD-10-CM Code: Diabetes mellitus in pregnancy, childbirth, and the puerperium
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Official Registry Overview & Definition
Diabetes mellitus in pregnancy, childbirth, and the puerperium is a non-billable ICD-10-CM category code (O24). A more specific billable subcode must be selected for claims submission.
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for O24 in the official ICD-10-CM tabular list.
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48) Compare O24 vs O30 →
- maternal diseases classifiable elsewhere but complicating pregnancy, labor and delivery, and the puerperium (O98-O99) Compare O24 vs O98 →
Frequently Compared Codes
The official Excludes notes on O24 name these codes. Each comparison page covers when the two can — or must not — be reported together.
Change history
No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.
Verify Before Coding
- Not billable as written — a more specific code is required: O24.011, O24.012, O24.013, O24.019, O24.02.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Relationships & Classification
Other codes that name O24 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
1 Excludes1 notes: R73.
1 Excludes2 notes: O99.2.
Contextual Map
Every relationship of O24 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- O00-O9A — Chapter 15: Pregnancy, Childbirth and the Puerperium (O00-O9A) (O00-O9A) [Hierarchy]
- O20-O29 — Other maternal disorders predominantly related to pregnancy [Hierarchy]
Excludes2
- O30 — Multiple gestation [Excludes2]: “maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)” · check together
- O48 — Late pregnancy [Excludes2]: “maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)” · check together
- O98 — Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium [Excludes2]: “maternal diseases classifiable elsewhere but complicating pregnancy, labor and delivery, and the puerperium (O98-O99)” · check together
- O99 — Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium [Excludes2]: “maternal diseases classifiable elsewhere but complicating pregnancy, labor and delivery, and the puerperium (O98-O99)” · check together
Referenced by Excludes1 notes
- R73 — Elevated blood glucose level [Excludes1]: “diabetes mellitus in pregnancy, childbirth and the puerperium (O24.-)” · check together
Referenced by Excludes2 notes
- O99.2 — Endocrine, nutritional and metabolic diseases complicating pregnancy, childbirth and the puerperium [Excludes2]: “diabetes mellitus (O24.-)” · check together
Nearest codes (56)
- O24.0 — Pre-existing type 1 diabetes mellitus, in pregnancy, childbirth and the puerperium [Sibling]
- O24.01 — Pre-existing type 1 diabetes mellitus, in pregnancy [Sibling]
- O24.011 — Pre-existing type 1 diabetes mellitus, in pregnancy, first trimester [Sibling]
- O24.012 — Pre-existing type 1 diabetes mellitus, in pregnancy, second trimester [Sibling]
- O24.013 — Pre-existing type 1 diabetes mellitus, in pregnancy, third trimester [Sibling]
- O24.019 — Pre-existing type 1 diabetes mellitus, in pregnancy, unspecified trimester [Sibling]
- O24.02 — Pre-existing type 1 diabetes mellitus, in childbirth [Sibling]
- O24.03 — Pre-existing type 1 diabetes mellitus, in the puerperium [Sibling]
- and 48 more
Frequently Asked Questions (FAQ) & Clinical Guidance
Can O24 be billed directly?
No. O24 (Diabetes mellitus in pregnancy, childbirth, and the puerperium) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to O24 in its code family, with their registry titles.
- O24.0 — Pre-existing type 1 diabetes mellitus, in pregnancy, childbirth and the puerperium
- O24.01 — Pre-existing type 1 diabetes mellitus, in pregnancy
- O24.011 — Pre-existing type 1 diabetes mellitus, in pregnancy, first trimester
- O24.012 — Pre-existing type 1 diabetes mellitus, in pregnancy, second trimester
- O24.013 — Pre-existing type 1 diabetes mellitus, in pregnancy, third trimester
- O24.019 — Pre-existing type 1 diabetes mellitus, in pregnancy, unspecified trimester
- O24.02 — Pre-existing type 1 diabetes mellitus, in childbirth
- O24.03 — Pre-existing type 1 diabetes mellitus, in the puerperium
- O24.1 — Pre-existing type 2 diabetes mellitus, in pregnancy, childbirth and the puerperium
- O24.11 — Pre-existing type 2 diabetes mellitus, in pregnancy
- O24.111 — Pre-existing type 2 diabetes mellitus, in pregnancy, first trimester
- O24.112 — Pre-existing type 2 diabetes mellitus, in pregnancy, second trimester
- O24.113 — Pre-existing type 2 diabetes mellitus, in pregnancy, third trimester
- O24.119 — Pre-existing type 2 diabetes mellitus, in pregnancy, unspecified trimester
- O24.12 — Pre-existing type 2 diabetes mellitus, in childbirth
- O24.13 — Pre-existing type 2 diabetes mellitus, in the puerperium
- O24.3 — Unspecified pre-existing diabetes mellitus in pregnancy, childbirth and the puerperium
- O24.31 — Unspecified pre-existing diabetes mellitus in pregnancy
- O24.311 — Unspecified pre-existing diabetes mellitus in pregnancy, first trimester
- O24.312 — Unspecified pre-existing diabetes mellitus in pregnancy, second trimester
- O24.313 — Unspecified pre-existing diabetes mellitus in pregnancy, third trimester
- O24.319 — Unspecified pre-existing diabetes mellitus in pregnancy, unspecified trimester
- O24.32 — Unspecified pre-existing diabetes mellitus in childbirth
- O24.33 — Unspecified pre-existing diabetes mellitus in the puerperium
- O24.4 — Gestational diabetes mellitus
- O24.41 — Gestational diabetes mellitus in pregnancy
- O24.410 — Gestational diabetes mellitus in pregnancy, diet controlled
- O24.414 — Gestational diabetes mellitus in pregnancy, insulin controlled
- O24.415 — Gestational diabetes mellitus in pregnancy, controlled by oral hypoglycemic drugs
- O24.419 — Gestational diabetes mellitus in pregnancy, unspecified control
- O24.42 — Gestational diabetes mellitus in childbirth
- O24.420 — Gestational diabetes mellitus in childbirth, diet controlled
- O24.424 — Gestational diabetes mellitus in childbirth, insulin controlled
- O24.425 — Gestational diabetes mellitus in childbirth, controlled by oral hypoglycemic drugs
- O24.429 — Gestational diabetes mellitus in childbirth, unspecified control
- O24.43 — Gestational diabetes mellitus in the puerperium
- O24.430 — Gestational diabetes mellitus in the puerperium, diet controlled
- O24.434 — Gestational diabetes mellitus in the puerperium, insulin controlled
- O24.435 — Gestational diabetes mellitus in puerperium, controlled by oral hypoglycemic drugs
- O24.439 — Gestational diabetes mellitus in the puerperium, unspecified control
- O24.8 — Other pre-existing diabetes mellitus in pregnancy, childbirth, and the puerperium
- O24.81 — Other pre-existing diabetes mellitus in pregnancy
- O24.811 — Other pre-existing diabetes mellitus in pregnancy, first trimester
- O24.812 — Other pre-existing diabetes mellitus in pregnancy, second trimester
- O24.813 — Other pre-existing diabetes mellitus in pregnancy, third trimester
- O24.819 — Other pre-existing diabetes mellitus in pregnancy, unspecified trimester
- O24.82 — Other pre-existing diabetes mellitus in childbirth
- O24.83 — Other pre-existing diabetes mellitus in the puerperium
- O24.9 — Unspecified diabetes mellitus in pregnancy, childbirth and the puerperium
- O24.91 — Unspecified diabetes mellitus in pregnancy
- O24.911 — Unspecified diabetes mellitus in pregnancy, first trimester
- O24.912 — Unspecified diabetes mellitus in pregnancy, second trimester
- O24.913 — Unspecified diabetes mellitus in pregnancy, third trimester
- O24.919 — Unspecified diabetes mellitus in pregnancy, unspecified trimester
- O24.92 — Unspecified diabetes mellitus in childbirth
- O24.93 — Unspecified diabetes mellitus in the puerperium