October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

O24 Diabetes mellitus in pregnancy, childbirth, and the puerperium

All 42 codes in the O24 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

42

Can lead a claim

37

Cannot lead a claim

5

What CMS assigns to O24

37 of the 42 codes group to MMTA - Other; 5 are assigned no clinical group. None of the 42 is assigned a comorbidity subgroup. 37 of the 42 can lead a claim.

Every code in O24

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
O24.0 Pre-existing type 1 diabetes mellitus, in pregnancy, childbirth and the puerperium
O24.01 Pre-existing type 1 diabetes mellitus, in pregnancy
O24.011Pre-existing type 1 diabetes mellitus, in pregnancy, first trimesterCMS: Pre-existing type 1 diabetes, in pregnancy, first trimesterCan lead a claimANone
O24.012Pre-existing type 1 diabetes mellitus, in pregnancy, second trimesterCMS: Pre-existing type 1 diabetes, in pregnancy, second trimesterCan lead a claimANone
O24.013Pre-existing type 1 diabetes mellitus, in pregnancy, third trimesterCMS: Pre-existing type 1 diabetes, in pregnancy, third trimesterCan lead a claimANone
O24.019Pre-existing type 1 diabetes mellitus, in pregnancy, unspecified trimesterCMS: Pre-exist type 1 diabetes, in pregnancy, unsp trimesterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O24.02Pre-existing type 1 diabetes mellitus, in childbirthCan lead a claimANone
O24.03Pre-existing type 1 diabetes mellitus, in the puerperiumCan lead a claimANone
O24.1 Pre-existing type 2 diabetes mellitus, in pregnancy, childbirth and the puerperium
O24.11 Pre-existing type 2 diabetes mellitus, in pregnancy
O24.111Pre-existing type 2 diabetes mellitus, in pregnancy, first trimesterCMS: Pre-existing type 2 diabetes, in pregnancy, first trimesterCan lead a claimANone
O24.112Pre-existing type 2 diabetes mellitus, in pregnancy, second trimesterCMS: Pre-existing type 2 diabetes, in pregnancy, second trimesterCan lead a claimANone
O24.113Pre-existing type 2 diabetes mellitus, in pregnancy, third trimesterCMS: Pre-existing type 2 diabetes, in pregnancy, third trimesterCan lead a claimANone
O24.119Pre-existing type 2 diabetes mellitus, in pregnancy, unspecified trimesterCMS: Pre-exist type 2 diabetes, in pregnancy, unsp trimesterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O24.12Pre-existing type 2 diabetes mellitus, in childbirthCan lead a claimANone
O24.13Pre-existing type 2 diabetes mellitus, in the puerperiumCan lead a claimANone
O24.3 Unspecified pre-existing diabetes mellitus in pregnancy, childbirth and the puerperium
O24.31 Unspecified pre-existing diabetes mellitus in pregnancy
O24.311Unspecified pre-existing diabetes mellitus in pregnancy, first trimesterCMS: Unsp pre-existing diabetes in pregnancy, first trimesterCan lead a claimANone
O24.312Unspecified pre-existing diabetes mellitus in pregnancy, second trimesterCMS: Unsp pre-existing diabetes in pregnancy, second trimesterCan lead a claimANone
O24.313Unspecified pre-existing diabetes mellitus in pregnancy, third trimesterCMS: Unsp pre-existing diabetes in pregnancy, third trimesterCan lead a claimANone
O24.319Unspecified pre-existing diabetes mellitus in pregnancy, unspecified trimesterCMS: Unsp pre-existing diabetes in pregnancy, unsp trimesterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O24.32Unspecified pre-existing diabetes mellitus in childbirthCan lead a claimANone
O24.33Unspecified pre-existing diabetes mellitus in the puerperiumCan lead a claimANone
O24.4 Gestational diabetes mellitus
O24.41 Gestational diabetes mellitus in pregnancy
O24.410Gestational diabetes mellitus in pregnancy, diet controlledCan lead a claimANone
O24.414Gestational diabetes mellitus in pregnancy, insulin controlledCMS: Gestational diabetes in pregnancy, insulin controlledCan lead a claimANone
O24.415Gestational diabetes mellitus in pregnancy, controlled by oral hypoglycemic drugsCMS: Gestatnl diabetes in preg, ctrl by oral hypoglycemic drugsCan lead a claimANone
O24.419Gestational diabetes mellitus in pregnancy, unspecified controlCMS: Gestational diabetes mellitus in pregnancy, unsp controlCan lead a claimANone
O24.42 Gestational diabetes mellitus in childbirth
O24.420Gestational diabetes mellitus in childbirth, diet controlledCan lead a claimANone
O24.424Gestational diabetes mellitus in childbirth, insulin controlledCMS: Gestational diabetes in childbirth, insulin controlledCan lead a claimANone
O24.425Gestational diabetes mellitus in childbirth, controlled by oral hypoglycemic drugsCMS: Gestatnl diab in chldbrth, ctrl by oral hypoglycemic drugsCan lead a claimANone
O24.429Gestational diabetes mellitus in childbirth, unspecified controlCMS: Gestational diabetes mellitus in childbirth, unsp controlCan lead a claimANone
O24.43 Gestational diabetes mellitus in the puerperium
O24.430Gestational diabetes mellitus in the puerperium, diet controlledCMS: Gestational diabetes in the puerperium, diet controlledCan lead a claimANone
O24.434Gestational diabetes mellitus in the puerperium, insulin controlledCMS: Gestational diabetes in the puerperium, insulin controlledCan lead a claimANone
O24.435Gestational diabetes mellitus in puerperium, controlled by oral hypoglycemic drugsCMS: Gestatnl diabetes in puerp, ctrl by oral hypoglycemic drugsCan lead a claimANone
O24.439Gestational diabetes mellitus in the puerperium, unspecified controlCMS: Gestational diabetes in the puerperium, unsp controlCan lead a claimANone
O24.8 Other pre-existing diabetes mellitus in pregnancy, childbirth, and the puerperium
O24.81 Other pre-existing diabetes mellitus in pregnancy
O24.811Other pre-existing diabetes mellitus in pregnancy, first trimesterCMS: Oth pre-existing diabetes in pregnancy, first trimesterCan lead a claimANone
O24.812Other pre-existing diabetes mellitus in pregnancy, second trimesterCMS: Oth pre-existing diabetes in pregnancy, second trimesterCan lead a claimANone
O24.813Other pre-existing diabetes mellitus in pregnancy, third trimesterCMS: Oth pre-existing diabetes in pregnancy, third trimesterCan lead a claimANone
O24.819Other pre-existing diabetes mellitus in pregnancy, unspecified trimesterCMS: Oth pre-existing diabetes in pregnancy, unsp trimesterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O24.82Other pre-existing diabetes mellitus in childbirthCan lead a claimANone
O24.83Other pre-existing diabetes mellitus in the puerperiumCan lead a claimANone
O24.9 Unspecified diabetes mellitus in pregnancy, childbirth and the puerperium
O24.91 Unspecified diabetes mellitus in pregnancy
O24.911Unspecified diabetes mellitus in pregnancy, first trimesterCan lead a claimANone
O24.912Unspecified diabetes mellitus in pregnancy, second trimesterCan lead a claimANone
O24.913Unspecified diabetes mellitus in pregnancy, third trimesterCan lead a claimANone
O24.919Unspecified diabetes mellitus in pregnancy, unspecified trimesterCMS: Unsp diabetes mellitus in pregnancy, unspecified trimesterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O24.92Unspecified diabetes mellitus in childbirthCan lead a claimANone
O24.93Unspecified diabetes mellitus in the puerperiumCan lead a claimANone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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