ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 O24.92

Billable / Specific

Unspecified diabetes mellitus in childbirth

O24
Block
0
Synonyms
7
LCDs
2
Payer Policies
0
Linked CPTs

About ICD-10-CM O24.92

ICD-10-CM code O24.92 represents Unspecified diabetes mellitus in childbirth. This is a billable/specific code in the Pregnancy, Childbirth, and Puerperium chapter (block O24). The 2026 edition of ICD-10-CM O24.92 became effective on October 1, 2025.

Coding Tips for O24.92

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Pregnancy chapter (O00-O9A): trimester required

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 O24.92

Local Coverage Determinations (LCDs) from CMS MACs that list O24.92 as a covered diagnosis.

7 LCDs

Showing top 7. Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 52996, Effective: 2025-10-01 00:00:00, 750 covered, 0 non-covered
CPT 11719 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 52996, Effective: 2025-10-01 00:00:00, 750 covered, 0 non-covered
CPT 11721 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 52996, Effective: 2025-10-01 00:00:00, 750 covered, 0 non-covered
CPT 11057 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 52996, Effective: 2025-10-01 00:00:00, 750 covered, 0 non-covered
CPT 11720 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 52996, Effective: 2025-10-01 00:00:00, 750 covered, 0 non-covered
CPT G0127 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 52996, Effective: 2025-10-01 00:00:00, 750 covered, 0 non-covered
CPT 11055 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 52996, Effective: 2025-10-01 00:00:00, 750 covered, 0 non-covered
CPT 11056 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing O24.92.

2 policies

2 Medicare

Glucose Monitor - Policy Article
Policy ID: ART-52464
Billing and Coding: Routine Foot Care
Policy ID: ART-52996

CPT Codes Commonly Billed with O24.92

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for O24.92

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 O24.92 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
O24.92 64801 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 O24.92, Billing FAQ

Is ICD-10 code O24.92 billable? +

Yes, O24.92 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does O24.92 map to? +

Per CMS GEMs, O24.92 maps to ICD-9 codes: 64801. 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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