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Home/Diagnosis/ICD-10 Coding for Hemoglobin A1c

ICD-10 Coding for Hemoglobin A1c

R73.09
E11.65

Complete ICD-10-CM coding and documentation guide for icd-10 coding for hemoglobin a1c includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
HbA1c
Glycated Hemoglobin
A1c
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Key Information: ICD-10 Coding for Hemoglobin A1c

Essential facts and insights about ICD-10 Coding for Hemoglobin A1c

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 between 5.7% and 6.4%

Applicable To

  • • Prediabetes

Important Notes

  • • Ensure HbA1c results are documented clearly.

Type 2 diabetes mellitus with hyperglycemia

Billable Code
E11.65
Billable

Diagnostic Criteria

  • • HbA1c >9.0% with documented hyperglycemia

Applicable To

  • • Uncontrolled diabetes with hyperglycemia

Important Notes

  • • Document hyperglycemia and HbA1c levels accurately.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z13.1

Encounter for screening for diabetes mellitus

Use for screening encounters without a prior diagnosis of diabetes.

83036

Hemoglobin A1c test

Use alongside diagnostic codes for diabetes management.

Frequently Asked Questions

How is HbA1c coded in ICD-10?

HbA1c is primarily coded under R73.09 for prediabetes and E11.65 for uncontrolled diabetes with hyperglycemia.

What is the ICD-10 code for prediabetes?

The ICD-10 code for prediabetes is R73.09, used when HbA1c is between 5.7% and 6.4%.

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