Complete ICD-10-CM coding and documentation guide for icd-10 coding for prediabetes includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Prediabetes
Use ICD-10 code R73.03 for prediabetes, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Body mass index (BMI) 30.0-39.9, adult
Use to document obesity as a risk factor
Encounter for screening for diabetes mellitus
Use for screening encounters, especially with risk factors present
The ICD-10 code for prediabetes is R73.03, used when lab results confirm prediabetes criteria such as FPG 100-125 mg/dL or A1C 5.7-6.4%.
Use Z13.1 for screening encounters, especially with risk factors like obesity, and apply the TS modifier for Medicare screenings.