Other abnormal glucose
R73. 09 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.What diagnosis will cover a hemoglobin A1C?
The measurement of hemoglobin A1c is recommended for diabetes management, including screening, diagnosis, and monitoring for diabetes and prediabetes. hyperglycemia (Skyler et al., 2017).Apr 1, 2019
What is the ICD 10 code for glucose tolerance test?
02.
When do you use R73 09?
If a member has been diagnosed with prediabetes, or has had a previous diagnosis of diabetes and the disease is now considered latent or dormant (per the provider's documentation) the ICD-10 code R73. 09, Other abnormal glucose, should be assigned.
What is the ICD 10 code for A1C?
ICD-10-CM Diagnosis Code R97 R97.
What is the ICD 10 code for elevated A1C?
A diagnosis made based on abnormal A1c would fall into the R73. 09 code.Jun 16, 2015
What is icd10 code for diabetes?
E08. 10 Diabetes mellitus due to underlying condition... E08.
Can you code E11 21 and E11 22 together?
The incorrect portion of the response came as an aside at the end, where it was stated that “it would be redundant to assign codes for both diabetic nephropathy (E11. 21) and diabetic chronic kidney disease (E11. 22), as diabetic chronic kidney disease is a more specific condition.” It is true you wouldn't code both.Nov 18, 2019
When do you code E11 8?
8: Type 2 diabetes mellitus With unspecified complications.
General Information
CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
CMS National Coverage Policy
Title XVIII of the Social Security Act, §1833 (e) prohibits Medicare payment for any claim which lacks the necessary information to process the claim.
Article Guidance
The information in this article contains billing, coding or other guidelines that complement the Local Coverage Determination (LCD) for HbA1c L33431.
ICD-10-CM Codes that Support Medical Necessity
ICD-10 codes for performing tests at frequencies more than every 3 months. The following codes indicate or imply a condition of hyperglycemia and may be billed alone on the claim.
Bill Type Codes
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.
Revenue Codes
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.
Document Information
CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
CMS National Coverage Policy
Title XVIII of the Social Security Act, §1862 (a) (1) (A) allows coverage and payment for only those services are considered to be reasonable and necessary for the diagnosis or treatment of illness or to improve the functioning of a malformed body member. CMS Internet-Only Manual, Pub.
Coverage Guidance
Hemoglobin A1c (HbA1c) refers to the major component of hemoglobin A1. Performance of the HbA1c test at least 2 times a year in patients who are meeting treatment goals and who have stable glycemic control is supported by the American Diabetes Association Standards of Medical Care in Diabetes - 2016 (ADA Standards).
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