No other code from category o24 diabetes mellitus in

No other code from category O24, Diabetes mellitus in pregnancy, childbirth,
and the puerperium, should be used with a code from O24.4.
The codes under subcategory O24.4 include diet controlled, insulin
controlled , and controlled by oral hypoglycemic drugs. If a patient with
gestational diabetes is treated with both diet and insulin, only the code for
insulin-controlled is required.
I
f a patient with gestational diabetes is
treated with both diet and oral hypoglycemic medications, only the
code for "controlled by oral hypoglycemic drugs" is required. Code
Z79.4, Long-term (current) use of insulin or code Z79.84, Long-term
(current) use of oral hypoglycemic drugs, should not be assigned with
codes from subcategory O24.4.
An abnormal glucose tolerance in pregnancy is assigned a code from
subcategory O99.81, Abnormal glucose complicating pregnancy, childbirth,
and the puerperium.
j. Sepsis and septic shock complicating abortion, pregnancy, childbirth
and the puerperium
When assigning a chapter 15 code for sepsis complicating abortion,
pregnancy, childbirth, and the puerperium, a code for the specific type of
infection should be assigned as an additional diagnosis. If severe sepsis is
present, a code from subcategory R65.2, Severe sepsis, and code(s) for
associated organ dysfunction(s) should also be assigned as additional
diagnoses.
k. Puerperal sepsis
Code O85, Puerperal sepsis, should be assigned with a secondary code to
identify the causal organism (e.g., for a bacterial infection, assign a code from
category B95-B96, Bacterial infections in conditions classified elsewhere). A
code from category A40, Streptococcal sepsis, or A41, Other sepsis, should
not be used for puerperal sepsis. If applicable, use additional codes to
identify severe sepsis (R65.2-) and any associated acute organ dysfunction.
l. Alcohol and tobacco use during pregnancy, childbirth and the
puerperium
1) Alcohol use during pregnancy, childbirth and the puerperium
Codes under subcategory O99.31, Alcohol use complicating pregnancy,
childbirth, and the puerperium, should be assigned for any pregnancy
case when a mother uses alcohol during the pregnancy or postpartum. A
secondary code from category F10, Alcohol related disorders, should also
be assigned to identify manifestations of the alcohol use.
2) Tobacco use during pregnancy, childbirth and the puerperium
Codes under subcategory O99.33, Smoking (tobacco) complicating
pregnancy, childbirth, and the puerperium, should be assigned for any
pregnancy case when a mother uses any type of tobacco product during
the pregnancy or postpartum. A secondary code from category F17,
Nicotine dependence, should also be assigned to identify the type of
nicotine dependence.
m. Poisoning, toxic effects, adverse effects and underdosing in a pregnant
patient
A code from subcategory O9A.2, Injury, poisoning and certain other
consequences of external causes complicating pregnancy, childbirth, and
the puerperium, should be sequenced first, followed by the appropriate
injury, poisoning, toxic effect, adverse effect or underdosing code, and