ICD-9-CM Official Guidelines for Coding and Reporting - Office of ...

d. HIV Infection in Pregnancy, Childbirth and the
Puerperium
During pregnancy, childbirth or the puerperium, a patient admitted
because of an HIV-related illness should receive a principal diagnosis
of 647.6X, Other specified infectious and parasitic diseases in the
mother classifiable elsewhere, but complicating the pregnancy,
childbirth or the puerperium, followed by 042 and the code(s) for the
HIV-related illness(es).
Patients with asymptomatic HIV infection status admitted during
pregnancy, childbirth, or the puerperium should receive codes of
647.6X and V08.
e. Current Conditions Complicating Pregnancy
Assign a code from subcategory 648.x for patients that have current
conditions when the condition affects the management of the
pregnancy, childbirth, or the puerperium. Use additional secondary
codes from other chapters to identify the conditions, as appropriate.
f. Diabetes mellitus in pregnancy
Diabetes mellitus is a significant complicating factor in pregnancy.
Pregnant women who are diabetic should be assigned code 648.0x,
Diabetes mellitus complicating pregnancy, and a secondary code from
category 250, Diabetes mellitus, or category 249, Secondary
diabetes to identify the type of diabetes.
Code V58.67, Long-term (current) use of insulin, should also be
assigned if the diabetes mellitus is being treated with insulin.
g. Gestational diabetes
Gestational diabetes can occur during the second and third trimester of
pregnancy in women who were not diabetic prior to pregnancy.
Gestational diabetes can cause complications in the pregnancy similar
to those of pre-existing diabetes mellitus. It also puts the woman at
greater risk of developing diabetes after the pregnancy. Gestational
diabetes is coded to 648.8x, Abnormal glucose tolerance. Codes
648.0x and 648.8x should never be used together on the same record.
Code V58.67, Long-term (current) use of insulin, should also be
assigned if the gestational diabetes is being treated with insulin.
ICD-9-CM Official Guidelines for Coding and Reporting
Effective October 1, 2008
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