ICD-10 O24.434
Billable / SpecificGestational diabetes mellitus in the puerperium, insulin controlled
About ICD-10-CM O24.434
ICD-10-CM code O24.434 represents Gestational diabetes mellitus in the puerperium, insulin controlled. This is a billable/specific code in the Pregnancy, Childbirth, and Puerperium chapter (block O24). The 2026 edition of ICD-10-CM O24.434 became effective on October 1, 2025.
Coding Tips for O24.434
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
Most O codes require a 7th character indicating trimester (1 = first, 2 = second, 3 = third). Some require fetus identification character. Code O09 (supervision of high-risk pregnancy) is required as a secondary code when applicable.
Medicare LCD Coverage for O24.434
Local Coverage Determinations (LCDs) from CMS MACs that list O24.434 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing O24.434.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but O24.434 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with O24.434
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert O24.434 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| O24.434 | 64884 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To O24.434
Other codes in section O20-O29 (Other maternal disorders predominantly related to pregnancy).
ICD-10 O24.434, Billing FAQ
Is ICD-10 code O24.434 billable? +
Yes, O24.434 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What ICD-9 codes does O24.434 map to? +
Per CMS GEMs, O24.434 maps to ICD-9 codes: 64884. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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