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Home/Diagnosis/ICD-10 Coding for Borderline Diabetes

ICD-10 Coding for Borderline Diabetes

R73.03
R73.09

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

Also Known as:
Prediabetes
Impaired Glucose Tolerance
Impaired Fasting Glucose
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Key Information: ICD-10 Coding for Borderline Diabetes

Essential facts and insights about ICD-10 Coding for Borderline Diabetes

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

  • • FPG 100-125 mg/dL
  • • OGTT 140-199 mg/dL
  • • HbA1c 5.7-6.4%

Applicable To

  • • Impaired fasting glucose
  • • Impaired glucose tolerance

Important Notes

  • • Ensure lab values are documented to support the diagnosis of prediabetes.

Other abnormal glucose

Billable Code
R73.09
Billable

Diagnostic Criteria

  • • Glucose levels not meeting prediabetes criteria

Applicable To

  • • Abnormal glucose not meeting prediabetes criteria

Important Notes

  • • Ensure documentation clearly states abnormal glucose without meeting prediabetes criteria.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z79.4

Long term (current) use of insulin

Use if the patient is on insulin therapy.

Frequently Asked Questions

What is the ICD-10 code for borderline diabetes?

The ICD-10 code for borderline diabetes, also known as prediabetes, is R73.03. This code is used when lab results meet specific criteria such as FPG 100-125 mg/dL.

How do you document borderline diabetes?

Document borderline diabetes by including specific lab values such as FPG, OGTT, or HbA1c that meet prediabetes criteria, along with a clear diagnosis and management plan.

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