Syndrome of "infant of a diabetic mother"

This code identifies a neonate who exhibits a constellation of signs and symptoms resulting from maternal diabetes during pregnancy. These infants often present with macrosomia, hypoglycemia, respiratory distress, hypocalcemia, and polycythemia due to the altered metabolic environment in utero. The syndrome reflects the impact of chronic hyperglycemia on fetal development and organ maturation.

Use this code when documentation clearly indicates that an infant's clinical presentation is directly attributable to the mother's diabetic status (Type 1, Type 2, or gestational diabetes). This applies even if the infant does not exhibit all classic symptoms but has documented complications linked to maternal diabetes. Documentation should specify "infant of a diabetic mother" or describe the associated clinical findings.

• Do not use this code solely for infants born to diabetic mothers without documented clinical manifestations of the syndrome.
• Sequence this code as a principal diagnosis when it is the primary reason for admission or as a secondary diagnosis when it contributes to the infant's overall condition.
• Consider additional codes for specific manifestations, such as hypoglycemia (775.6), macrosomia (766.0), or respiratory distress (769).