Abnormal glucose complicating childbirth

This code signifies any form of abnormal glucose metabolism, such as hyperglycemia or hypoglycemia, that arises during the peripartum period and directly impacts the childbirth process. It encompasses conditions like gestational diabetes that persist or manifest complications during delivery, or pre-existing diabetes with acute glucose derangements during labor.

Apply this code when documentation clearly indicates a maternal glucose abnormality occurring during labor, delivery, or the immediate postpartum period, and the provider explicitly links it as a complication of the childbirth. This includes scenarios where insulin is administered or glucose levels are actively managed due to these abnormalities during the delivery encounter.

• Always sequence this code after the primary obstetric code indicating the type of delivery (e.g., O80, O82).
• Do not use this code for gestational diabetes managed without complications during childbirth; instead, use codes from category O24.4-.
• Ensure the medical record specifies the "complicating childbirth" aspect; mere presence of abnormal glucose without documented impact on delivery is insufficient.