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Home/Diagnosis/ICD-10 Coding for Glycated Hemoglobin

ICD-10 Coding for Glycated Hemoglobin

E11.9
R73.09

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

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

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

Use ICD-10 code E11.9 for type 2 diabetes mellitus without complications, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Type 2 diabetes mellitus without complications

Billable Code
E11.9
Billable

Diagnostic Criteria

  • • Patient diagnosed with Type 2 diabetes without complications.

Applicable To

  • • Type 2 diabetes mellitus

Important Notes

  • • Ensure to document any complications separately to avoid undercoding.

Other abnormal glucose

Billable Code
R73.09
Billable

Diagnostic Criteria

  • • HbA1c 5.7–6.4% on two separate occasions

Applicable To

  • • Prediabetes

Important Notes

  • • Ensure documentation supports the absence of a confirmed diabetes diagnosis.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z79.84

Long-term (current) use of insulin

Use when the patient with Type 2 diabetes is on long-term insulin therapy.

Frequently Asked Questions

How often should HbA1c be tested for diabetes management?

HbA1c should be tested every 3 months for patients with uncontrolled diabetes to monitor treatment efficacy.

What ICD-10 code is used 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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