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O24.4 ICD-10-CM Code: Gestational diabetes mellitus

ICD-10-CM Code View

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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 guidance

Gestational diabetes mellitus

Gestational diabetes mellitus

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
O24Diabetes mellitus in pregnancy, childbirth, and the puerperium
O24.4Gestational diabetes mellitus

Inclusion Terms

Official
  • Diabetes mellitus arising in pregnancy
  • Gestational diabetes mellitus NOS

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for O24.4 in this effective period.

Related Child Codes

Official
O24.41Gestational diabetes mellitus in pregnancy
O24.42Gestational diabetes mellitus in childbirth
O24.43Gestational diabetes mellitus in the puerperium

Includes

Official

ICD-10-CM does not list Includes notes for O24.4 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for O24.4 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for O24.4 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for O24.4 in this effective period.

Code Also

Official

ICD-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.

Child Codes

Code Hierarchy

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