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Diabetes in Pregnancy Use O24.- codes instead of E08E13 Pre-existing Type 1 or 2 diabetes Gestational diabetes (e.g., O24.410 controlled by diet) Complication Hierarchy If multiple complications exist assign multiple codes (e.g., nephropathy + neuropathy) Example Scenarios Type 2 DM with neuropathy E11.40 Type 2 DM with CKD stage 3 E11.22 + N18.3 Type 1 DM with hyperglycemia E10.65 Steroid-induced diabetes with retinopathy T38.0X5A + E09.319 Gestational diabetes controlled by diet O24.410 Accurate coding = better clinical documentation, reimbursement, and patient care