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Home/Diagnosis/ICD-10 Coding for Abnormal Glucose

ICD-10 Coding for Abnormal Glucose

R73.03
R73.09

Complete ICD-10-CM coding and documentation guide for icd-10 coding for abnormal glucose includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Prediabetes
Impaired Glucose Tolerance
Unspecified Hyperglycemia
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Key Information: ICD-10 Coding for Abnormal Glucose

Essential facts and insights about ICD-10 Coding for Abnormal Glucose

Use ICD-10 code R73.03 for prediabetes, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Prediabetes

Billable Code
R73.03
Billable

Diagnostic Criteria

clinical_criteria:
  • • Fasting glucose between 100-125 mg/dL

Applicable To

  • • Fasting glucose 100-125 mg/dL
  • • A1C 5.7-6.4%

Important Notes

  • • Ensure lab results are documented to support prediabetes diagnosis.

Other abnormal glucose

Billable Code
R73.09
Billable

Diagnostic Criteria

clinical_criteria:
  • • Single abnormal glucose value
  • • Conflicting test results

Applicable To

  • • Borderline glucose levels
  • • Inconsistent lab results

Important Notes

  • • Document specific lab values to justify the use of this code.
Ancillary Codes

Additional codes that may be used with this diagnosis

E66.9

Obesity

Use if BMI is ≥30.

Z79.84

Oral hypoglycemic use

Use if patient is on oral hypoglycemics.

Frequently Asked Questions

What is the ICD-10 code for prediabetes?

The ICD-10 code for prediabetes is R73.03, used when fasting glucose is 100-125 mg/dL or A1C is 5.7-6.4%.

When should R73.09 be used?

Use R73.09 for abnormal glucose levels that do not meet prediabetes criteria, such as a single abnormal test result.

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