O99.81

O99.81: Abnormal glucose complicating pregnancy, childbirth and the puerperium

Non-billable headerICD-10-CM

O99.81 is a non-billable header ICD-10-CM code for abnormal glucose complicating pregnancy, childbirth and the puerperium. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

gestational diabetes (O24.4-)

Excludes2 inherited from the categories above O99.81

Not part of this code, but both may be coded when both are present.

Written on O99.8: Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium

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-)

Written on O99: Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium

when the reason for maternal care is that the condition is known or suspected to have affected the fetus (O35-O36)

Other codes that can never be billed with O99.81

Their own Excludes1 notes name this code, so the conflict is not listed above.

R73.0Abnormal glucose

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead O99.81

3 child codes. Green means billable.