2027 ICD-10-CM Diagnosis Code O24.83Other pre-existing diabetes mellitus in the puerperium

ICD-10-CM Codes›O00-O9A›O20-O29›O24

ICD-10-CM O24.83
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

O24.83 is a billable ICD-10-CM diagnosis code for other pre-existing diabetes mellitus in the puerperium. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 769, 776. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 250 closely related codes. The code is restricted by the Medicare Code Editor to maternity cases (age 9 through 64). In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Complications specified during the puerperium, Diabetes mellitus without complication, and Diabetes or abnormal glucose tolerance complicating pregnancy; childbirth; or the puerperium.

This medical diagnosis code is frequently used in OB/GYN medical specialties to designate conditions such maternal disorders related to pregnancy.

Code Identity

ICD-10-CM Code
O24.83
Billable Status
Yes — Valid for Submission
Code Describes
Other pre-existing diabetes mellitus in the puerperium
Short Description
Other pre-existing diabetes mellitus in the puerperium
Same as the full description in the CMS dataset.
Parent Code
Other pre-existing diabetes mellitus in pregnancy, childbirth, and the puerperium

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO20-O29Other maternal disorders predominantly related to pregnancy
CategoryO24Diabetes mellitus in pregnancy, childbirth, and the puerperium
This CodeO24.83Other pre-existing diabetes mellitus in the puerperium

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O24.83.

The Medicare Code Editor detects inconsistencies in maternity cases by checking a patient's age and any diagnosis on the patient's record. The maternity code edits apply to patients age ange is 9–64 years inclusive (e.g., diabetes in pregnancy, antepartum pulmonary complication).

Quality Payment Program MeasuresBilling

Medicare quality measures that can apply when O24.83 is part of the patient record.

Diabetes: Glycemic Status Assessment Greater Than 9%

High Priority: YES

Measure Type: Intermediateoutcome

Submission Methods: Claims, Electronic Health Record, Registry

Description: Percentage of patients 18-75 years of age with diabetes who had a glycemic status assessment (hemoglobin A1c [HbA1c] or glucose management indicator [GMI]) > 9.0% during the measurement period.

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to O24.83: its own notes plus those printed at O24.8, block O20-O29, and Chapter 15. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • supervision of normal pregnancy (Z34.-)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Block O20-O29 Other maternal disorders predominantly related to pregnancy applies to 260 codes
  • maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)
  • maternal diseases classifiable elsewhere but complicating pregnancy, labor and delivery, and the puerperium (O98-O99)
From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • mental and behavioral disorders associated with the puerperium (F53.-)
  • obstetrical tetanus (A34)
  • postpartum necrosis of pituitary gland (E23.0)
  • puerperal osteomalacia (M83.0)

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From O24.8 Other pre-existing diabetes mellitus in pregnancy, childbirth, and the puerperium applies to 6 codes
  • code (for):
  • from categories E08, E09 and E13 to further identify any manifestation
  • injectable non-insulin antidiabetic drugs (Z79.85)
  • long-term (current) use of insulin (Z79.4)
From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.

Notes

General instructions on how these codes are used.

From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
  • Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
  • Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
  • 1st trimester- less than 14 weeks 0 days
  • 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
  • 3rd trimester- 28 weeks 0 days until delivery

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name O24.83, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming O24.83: they are not reported together with it, unless the two conditions are unrelated.

  • R73 Elevated blood glucose level
    diabetes mellitus in pregnancy, childbirth and the puerperium (O24.-) names O24.-, which includes this code

Excludes2 1

These codes carry an Excludes2 note naming O24.83: its condition is not part of those codes, and both may be reported when the patient has both.

  • O99.2 Endocrine, nutritional and metabolic diseases complicating pregnancy, childbirth and the puerperium
    diabetes mellitus (O24.-) names O24.-, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR PRG027
Complications specified during the puerperium
Default principal diagnosis: inpatient No · outpatient No
CCSR END002
Diabetes mellitus without complication
Default principal diagnosis: inpatient No · outpatient No
CCSR PRG019
Diabetes or abnormal glucose tolerance complicating pregnancy; childbirth; or the puerperium
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Diabetes and Pregnancy

If you have diabetes, your blood glucose, or blood sugar, levels are too high. Glucose comes from the foods you eat. A hormone called insulin helps the glucose get into your cells to give them energy. With type 1 diabetes, your body does not make insulin. With type 2 diabetes, your body does not make or use insulin well.

The full article covers:

  • What is diabetes?
  • What is gestational diabetes?
  • Who is more likely to develop gestational diabetes?
  • How do I know if I have gestational diabetes?
  • How can diabetes affect my pregnancy?
  • How can I manage diabetes during pregnancy?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert O24.83 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
648.04 Diabetes-postpartum
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About O24.83Overview

What is the ICD-10 code for other pre-existing diabetes mellitus in the puerperium?

The ICD-10-CM code for other pre-existing diabetes mellitus in the puerperium is O24.83 (sometimes written as O2483). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is O24.83 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other pre-existing diabetes mellitus in the puerperium on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does O24.83 group to?

When other pre-existing diabetes mellitus in the puerperium is the principal diagnosis on an inpatient stay, it groups to MS-DRG 769, 776, with relative weights from 0.6718 to 1.6666 depending on complications. Higher weights mean higher Medicare reimbursement.

Is O24.83 a CC or MCC?

CMS lists O24.83 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 250 closely related codes in its exclusion list.

Who can O24.83 be reported for?

The Medicare Code Editor checks other pre-existing diabetes mellitus in the puerperium against patient demographics: this code is intended for maternity cases (age 9 through 64). Claims outside these limits are flagged as inconsistent.