O24.4 ICD-10-CM Code: Gestational diabetes mellitus
HCC Buddy Code Card
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FY 2026 Apr update / Pregnancy, childbirth and the puerperium (O00-O9A) / Other maternal disorders predominantly related to pregnancy (O20-O29)
O24.4
Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidanceGestational diabetes mellitus
Gestational diabetes mellitus
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
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Code Book Path
Inclusion Terms
Official- Diabetes mellitus arising in pregnancy
- Gestational diabetes mellitus NOS
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for O24.4 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for O24.4 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for O24.4 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for O24.4 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for O24.4 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for O24.4 in this effective period.
Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.
Coder workflow notes
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What This Code Means
O24.4 is the ICD-10-CM diagnosis code for gestational diabetes mellitus. O24.4 sits in the ICD-10-CM chapter for pregnancy, childbirth and the puerperium (o00-o9a), within the section covering other maternal disorders predominantly related to pregnancy (o20-o29).
Header codes like O24.4 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at O24.4's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for O24.4 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.