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Home/Diagnosis/ICD-10 Coding for Elevated Glycosylated Hemoglobin

ICD-10 Coding for Elevated Glycosylated Hemoglobin

R73.09
E11.65

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

Also Known as:
Elevated HbA1c
High A1C
Elevated Hemoglobin A1C
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Key Information: ICD-10 Coding for Elevated Glycosylated Hemoglobin

Essential facts and insights about ICD-10 Coding for Elevated Glycosylated Hemoglobin

Use ICD-10 code R73.09 for other abnormal glucose, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Other abnormal glucose

Billable Code
R73.09
Billable

Diagnostic Criteria

  • • HbA1c level is elevated but no diabetes diagnosis is documented.

Applicable To

  • • Elevated HbA1c without diabetes diagnosis

Important Notes

  • • Ensure no diabetes diagnosis is present when using this code.

Type 2 diabetes mellitus with hyperglycemia

Billable Code
E11.65
Billable

Diagnostic Criteria

  • • Provider documentation linking hyperglycemia to diabetes
  • • HbA1c ≥6.5%

Applicable To

  • • Type 2 diabetes with documented hyperglycemia

Important Notes

  • • Ensure hyperglycemia is explicitly documented by the provider.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z79.4

Long-term (current) use of insulin

Use when the patient is on long-term insulin therapy.

Frequently Asked Questions

What is the ICD-10 code for elevated glycosylated hemoglobin?

The ICD-10 code for elevated glycosylated hemoglobin without a diabetes diagnosis is R73.09. For Type 2 diabetes with hyperglycemia, use E11.65.

Can elevated HbA1c be coded as hyperglycemia?

Elevated HbA1c can be coded as hyperglycemia only if explicitly documented by the provider in a patient with diabetes.

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