icd-10-cm code for borderline diabetes mellitus

by Carley Ward 7 min read

R73. 03 - Prediabetes. ICD-10-CM.

What is considered prediabetes A1C ICD 10?

Prediabetes

  • R73.03 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2022 edition of ICD-10-CM R73.03 became effective on October 1, 2021.
  • This is the American ICD-10-CM version of R73.03 - other international versions of ICD-10 R73.03 may differ.

What is ICD 10 for poorly controlled diabetes?

In ICD-10-CM, chapter 4, "Endocrine, nutritional and metabolic diseases (E00-E89)," includes a separate subchapter (block), Diabetes mellitus E08-E13, with the categories:

  • E08, Diabetes mellitus due to underlying condition
  • E09, Drug or chemical induced diabetes mellitus
  • E10, Type 1 diabetes mellitus
  • E11, Type 2 diabetes mellitus
  • E13, Other specified diabetes mellitus

What is ICD 10 code for insulin dependent diabetes?

What is ICD 10 code for insulin dependent type 2 diabetes? ICD-10 Code Z79. 4, Long-term (current) use of insulin should be assigned to indicate that the patient uses insulin for Type 2 diabetes mellitus (Category E11* codes). Z79. 4 should NOT be used for Type 1 diabetes mellitus (Category E10* codes). What is insulin-dependent diabetes called?

What are the ICD 10 codes for diabetes?

  • N18.3: Chronic kidney disease, stage 3 (moderate).
  • 024: Diabetes in pregnancy, childbirth, and the puerperium.
  • L97.4 or L97.5: To designate site, laterality, and depth of non-pressure skin ulcer.
  • O24.011: Pre-existing diabetes mellitus, type 1, in pregnancy, first trimester.
  • O24.12: Pre-existing diabetes mellitus, type 2, in childbirth.

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How do you code borderline diabetes mellitus?

Diagnosis Index entries containing back-references to R73.03:Borderline. diabetes mellitus R73.03.Diabetes, diabetic (mellitus) (sugar) E11.9. ICD-10-CM Diagnosis Code E11.9. Type 2 diabetes mellitus without complications. ... Prediabetes, prediabetic R73.03.

Do you code borderline diabetes?

Because there are specific index entries for borderline diabetes and hypertension, codes R73. 09 (other abnormal glucose) and R03.

Is there an ICD-10 code for prediabetes?

The ICD-10 code for prediabetes is R73. 09.

Is borderline diabetes the same as prediabetes?

Borderline diabetes, also called prediabetes, is a condition that develops before a person gets type 2 diabetes. It's also known as impaired fasting glucose or glucose intolerance. It basically means your blood sugar levels are higher than normal, but they're not quite high enough to be considered a sign of diabetes.

Do borderline codes exist in the ICD-10-CM?

If the provider documents a "borderline" diagnosis at the time of discharge, the diagnosis is coded as confirmed, unless the classification provides a specific entry (e.g., borderline diabetes). If a borderline condition has a specific index entry in ICD-10-CM, it should be coded as such.

When do you code prediabetes?

“R70-79” correspond to, “abnormal findings on examination of blood, without diagnosis.” The “73” indicates, “Elevated blood glucose level.” The “. 03” indicates, “Prediabetes.”

Is prediabetes a diagnosis?

Prediabetes Is a Big Deal Don't let the “pre” fool you. Prediabetes is a serious health condition. People with prediabetes have higher blood sugar than normal, but not high enough yet for a diabetes diagnosis. Prediabetes puts you at increased risk of developing type 2 diabetes, heart disease, and stroke.

What are the ICD-10 codes for diabetes?

Coding Diabetes Mellitus in ICD-10-CM: Improved Coding for Diabetes Mellitus Complements Present Medical ScienceE08, Diabetes mellitus due to underlying condition.E09, Drug or chemical induced diabetes mellitus.E10, Type 1 diabetes mellitus.E11, Type 2 diabetes mellitus.E13, Other specified diabetes mellitus.

What is the ICD-10 code for screening for diabetes?

You would assign ICD-10 code Z13. 1, Encounter for screening for diabetes mellitus. This code can be found under “Screening” in the Alphabetical Index of the ICD-10 book.

Is prediabetes type 1 or type 2?

Prediabetes is a serious health condition where blood sugar levels are higher than normal, but not high enough yet to be diagnosed as type 2 diabetes.

What is the difference between prediabetes and diabetes type 2?

People with diabetes may need pills and/or insulin to manage their blood glucose levels. Prediabetes is when a person's blood glucose levels are higher than normal, but not high enough to be diagnosed as Type 2 diabetes. Prediabetes is the same as impaired glucose intolerance (IGT) or impaired fasting glucose (IFG).

What is prediabetes vs diabetes?

What are Prediabetes and Diabetes? Having prediabetes means your blood glucose (sugar) levels are higher than normal—but not high enough to be diagnosed as diabetes. Prediabetes can lead to heart disease, stroke, and type 2 diabetes, the most common form of diabetes. Prediabetes can often be reversed.