Female—type of diabetes mellitus therapy during pregnancy, code N

Identifying and definitional attributes

• Health, Superseded 12/12/2018

Value domain attributes

Representational attributes

Collection and usage attributes

All therapies prescribed during pregnancy should be recorded. Therefore more than one code can be selected when reporting this item.

CODE 2   Oral hypoglycaemic

This code includes the options of sulphonylurea, biguanide (e.g. metformin), alpha-glucosidase inhibitor, thiazolidinedione, meglitinide, combination (e.g. biguanide and sulphonylurea), or other.

CODE 3   Diet and exercise

This code includes the options of generalised prescribed diet; avoid added sugar/simple carbohydrates (CHOs); low joule diet; portion exchange diet and uses glycaemic index and a recommendation for increased exercise.

CODE 9   Not stated/inadequately described

To be recorded by data entry personnel (state/territory health authority) if the data field is left blank or is inadequately completed in the perinatal data collection form or extract. Clinicians should not record Code 9.

Data element attributes

Collection and usage attributes

Jurisdictions that record perinatal data using the ICD-10-AM should apply the following codes, noting that the ICD-10-AM uses a hierarchical coding system for therapy type, and therefore not all types of therapy will necessarily be recorded:

'Code 1 Insulin' is equivalent in the ICD-10-AM to a code in the range O24.1–O24.9 used in conjunction with the fifth character '2' (insulin treated). Note that where a female has Type 1 diabetes, there is no equivalent fifth character applied to the ICD-10-AM code because Type 1 diabetes is always insulin-treated.

'Code 2 Oral hypoglycaemic' is equivalent in the ICD-10-AM to a code in the range O24.1–O24.9 used in conjunction with the fifth character '3' (oral hypoglycaemic therapy).

'Code 3 Diet and exercise' is equivalent in the ICD-10-AM to a code in the range O24.1–O24.9 used in conjunction with the fifth character '4' (other; diet; exercise; lifestyle management).

For example, for a female who has pre-existing Type 2 diabetes mellitus and uses oral hypoglycaemic therapy and insulin, this would be coded in the ICD-10-AM as O2412 and would be reported against this data item using Code 1.

Source and reference attributes

Australian Consortium for Classification Development (ACCD) 2017. The International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM), Australian Classification of Health Interventions (ACHI) and Australian Coding Standards (ACS), Tenth edn. Sydney: ACCD, University of Sydney.

Relational attributes