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Home/Diagnosis/ICD-10 Coding for HbA1c(E11.65, R73.09)

ICD-10 Coding for HbA1c(E11.65, R73.09)

E11.65
R73.09

Complete ICD-10-CM coding and documentation guide for icd-10 coding for hba1c(e11.65, r73.09) includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Hemoglobin A1c
Glycated Hemoglobin
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Key Information: ICD-10 Coding for HbA1c(E11.65, R73.09)

Essential facts and insights about ICD-10 Coding for HbA1c(E11.65, R73.09)

Use ICD-10 code E11.65 for type 2 diabetes mellitus with hyperglycemia, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Type 2 diabetes mellitus with hyperglycemia

Billable Code
E11.65
Billable

Diagnostic Criteria

  • • A1c >7% with symptoms

Applicable To

  • • Type 2 diabetes with high blood sugar

Important Notes

  • • Ensure hyperglycemia is explicitly documented.

Other abnormal glucose

Billable Code
R73.09
Billable

Diagnostic Criteria

  • • A1c 5.7-6.4%

Applicable To

  • • Prediabetes

Important Notes

  • • Ensure prediabetes is documented with specific A1c values.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z79.84

Long-term (current) use of oral hypoglycemic drugs

Use to indicate ongoing medication management for diabetes.

Frequently Asked Questions

What is the ICD-10 code for HbA1c?

The ICD-10 code for HbA1c related to diabetes is E11.65, used for type 2 diabetes with hyperglycemia.

How do you code prediabetes in ICD-10?

Prediabetes is coded as R73.09 in ICD-10, used for abnormal glucose findings without confirmed diabetes.

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