2027 ICD-10-CM Diagnosis Code O99.815Abnormal glucose complicating the puerperium

ICD-10-CM Codes›O00-O9A›O94-O9A›O99

ICD-10-CM O99.815
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

O99.815 is a billable ICD-10-CM diagnosis code for abnormal glucose complicating 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. The code is restricted by the Medicare Code Editor to maternity cases (age 9 through 64). Coders also document this condition as glucose tolerance test during pregnancy, childbirth and puerperium outside reference range. 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.

Code Identity

ICD-10-CM Code
O99.815
Billable Status
Yes — Valid for Submission
Code Describes
Abnormal glucose complicating the puerperium
Short Description
Abnormal glucose complicating the puerperium
Same as the full description in the CMS dataset.
Parent Code
O99.81
Abnormal glucose complicating pregnancy, childbirth and the puerperium

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO94-O9AOther obstetric conditions, not elsewhere classified
CategoryO99Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium
This CodeO99.815Abnormal glucose complicating the puerperium

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O99.815.

Maternity diagnoses
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).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Glucose tolerance test during pregnancy, childbirth and puerperium outside reference range
  • Glucose tolerance test outside reference range
  • Pregnancy with abnormal glucose tolerance test

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to O99.815: its own notes plus those printed at O99.81, O99.8, O99, and Chapter 15. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From O99 Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium applies to 96 codes
  • conditions which complicate the pregnant state, are aggravated by the pregnancy or are a main reason for obstetric care

Excludes1

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

From O99.81 Abnormal glucose complicating pregnancy, childbirth and the puerperium applies to 3 codes
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 O99.8 Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium applies to 18 codes
  • genitourinary infections in pregnancy (O23.-)
  • infection of genitourinary tract following delivery (O86.1-O86.4)
  • malignant neoplasm complicating pregnancy, childbirth and the puerperium (O9A.1-)
  • maternal care for known or suspected abnormality of maternal pelvic organs (O34.-)
  • postpartum acute kidney failure (O90.49)
  • traumatic injuries in pregnancy (O9A.2-)
From O99 Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium applies to 96 codes
  • when the reason for maternal care is that the condition is known or suspected to have affected the fetus (O35-O36)
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 O99.8 Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium applies to 18 codes
  • code to identify condition
From O99 Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium applies to 96 codes
  • code to identify specific condition
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 O99.815, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming O99.815: they are not reported together with it, unless the two conditions are unrelated.

  • R73.0 Abnormal glucose
    abnormal glucose in pregnancy (O99.81-) names O99.81-, 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 O99.815 to ICD-9-CMHistory

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

ICD-9-CM
648.82 Abn glucose-deliv w p/p
Approximate The match is approximate rather than exact.
ICD-9-CM
648.84 Abn glucose-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 O99.815Overview

What is the ICD-10 code for abnormal glucose complicating the puerperium?

The ICD-10-CM code for abnormal glucose complicating the puerperium is O99.815 (sometimes written as O99815). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is O99.815 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report abnormal glucose complicating the puerperium on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does O99.815 group to?

When abnormal glucose complicating 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.

Who can O99.815 be reported for?

The Medicare Code Editor checks abnormal glucose complicating the puerperium against patient demographics: this code is intended for maternity cases (age 9 through 64). Claims outside these limits are flagged as inconsistent.

Can O99.815 be reported with a code from O24.4?

Not as a rule. The Excludes1 note at O99.81, which applies to O99.815, lists "gestational diabetes (O24.4-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).