ICDcodes.org
FY2027

O24.311Unspecified pre-existing diabetes mellitus in pregnancy, first trimester

BillableUnspecifiedCC

Is O24.311 billable?

Yes, but O24.311 is an unspecified code. O24.311 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, O24.311 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting O24.311 — the more specific alternatives are listed below.

O24.311 at a glance

CodeO24.311
DescriptionUnspecified pre-existing diabetes mellitus in pregnancy, first trimester
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does O24.311 group to?

O24.311 sits in MDC 14 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 817Other Antepartum Diagnoses with O.R. Procedures with MCCsurgical
  • 818Other Antepartum Diagnoses with O.R. Procedures with CCsurgical
  • 819Other Antepartum Diagnoses with O.R. Procedures without CC/MCCsurgical

As a secondary diagnosis, O24.311 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.

How is O24.311 listed in the Alphabetic Index?

The Alphabetic Index lists these routes under O24.31, the nearest indexed parent of O24.311. Use them to find the family, then select the specific code.

  • Pregnancycomplicated bydiabetespre-existing (single) (uterine)

Excludes1 — never code together — inherited from Chapter 15

The conditions below can never be reported together with O24.311 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • supervision of normal pregnancy (Z34.-)

Use additional code — inherited from Chapter 15

Report an additional code alongside O24.311 to fully describe the condition. O24.311 is sequenced first.

  • code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.

Use additional code — inherited from O24.3

Report an additional code alongside O24.311 to fully describe the condition. O24.311 is sequenced first.

  • code (for):
  • from category E11 to further identify any manifestation
  • injectable non-insulin antidiabetic drugs (Z79.85)
  • long-term (current) use of insulin (Z79.4)

Excludes2 — not included here — inherited from Chapter 15

The conditions below are not part of O24.311, but a patient may have both at the same time. When documentation supports it, O24.311 and the excluded code may both be reported.

  • mental and behavioral disorders associated with the puerperium (F53.-)
  • obstetrical tetanus (A34)
  • postpartum necrosis of pituitary gland (E23.0)
  • puerperal osteomalacia (M83.0)

Excludes2 — not included here — inherited from O20-O29

The conditions below are not part of O24.311, but a patient may have both at the same time. When documentation supports it, O24.311 and the excluded code may both be reported.

  • 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)

How long has O24.311 existed?

O24.311 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

What other codes are in the O24.31 family? (3)