medical code for borderline diabetes mellitus, 2017 icd-10 cm

by Prof. Mina Hintz DVM 10 min read

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.

Full Answer

What is considered prediabetes A1c ICD 10?

What Is The Icd 10 Code For Prediabetes?

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What is ICD 10 for poorly controlled diabetes?

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What is the ICD 10 code for IDDM?

code for iddm and niddm They would both be 250.00 with the v58.67 for iddm added.

What is ICD 10 code for insulin dependent diabetes?

and through death certificates using ICD-10 codes. This was an important strength of this study since new cases of incident diabetes were identified through record linkage with sources of data ...

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What is the ICD-10 code for borderline diabetes?

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

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.

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.”

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.

How do you code a borderline diagnosis?

ICD-10 Code for Borderline personality disorder- F60. 3- Codify by AAPC.

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.

What is the ICD-10 code for diabetes?

E08. 1 Diabetes mellitus due to underlying condition... E08. 10 Diabetes mellitus due to underlying condition...

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.

What ICD-10 codes cover HbA1c?

This NCD lists the ICD-10 codes for HbA1c for frequencies up to once every three months. The ICD-10-CM codes for test frequencies exceeding one every 90 days are listed below. E08. 319 Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy without macular edema E08.

What is the ICD-10 code for diabetes type 2?

ICD-Code E11* is a non-billable ICD-10 code used for healthcare diagnosis reimbursement of Type 2 Diabetes Mellitus. Its corresponding ICD-9 code is 250. Code I10 is the diagnosis code used for Type 2 Diabetes Mellitus.

What is the Hcpcs code for coding for diabetes mellitus?

E08, Diabetes mellitus due to underlying condition. E09, Drug or chemical induced diabetes mellitus. E10, Type 1 diabetes mellitus. E11, Type 2 diabetes mellitus.

Is prediabetes a type of diabetes?

What Is Prediabetes? 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. Approximately 96 million American adults—more than 1 in 3—have prediabetes.

What is considered pre diabetic?

Normal if your blood sugar is less than 100 milligrams per deciliter (mg/dL) Prediabetes if your blood sugar is 100 to 125 mg/dL. Diabetes if your blood sugar is 126 mg/dL or higher.

What is the border level for diabetes?

People who are borderline diabetics, or are in the prediabetes stage, have fasting blood glucose levels (8 to 10 hours before eating) between 100 to 125 mg/dl. If blood is tested for blood glucose (sugar) randomly, it would fall between 140 to 200 mg/dl for a person who is a borderline diabetic.

How do you diagnose prediabetes?

To test for prediabetes, your healthcare provider will use a blood test. You may have: Fasting plasma glucose test, which tests your blood after you have fasted for eight hours (had nothing to eat or drink except water). A1C test, which provides your average blood glucose level over the past two to three months.

ICD-10-CM Tabular Instructional Notes

Diabetes mellitus tabular inclusions notes are introduced by the term “Includes” and appear at the beginning of a category. Categories E10–E13 inclusion notes further define or provide examples of the content within each category, as illustrated in the sidebar.

Reference

Coding Diabetes Mellitus in ICD-10-CM: Improved Coding for Diabetes Mellitus Complements Present Medical Science

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What type of diabetes codes should be used?

If the type of diabetes that the patient has is not documented in the medical record, E11 codes for type 2 diabetes should be used as a default. If the medical record doesn’t say what type of diabetes the patient has but indicates that the patient uses insulin, the Type 2 diabetes codes should also be used.

What is the ICD-10 code for diabetes?

For gestational diabetes (diabetes that occurs during pregnancy) women should be assigned a code under the 024.4 subheading and not any other codes under the 024 category.

When to use unspecified ICD-10?

The “unspecified” codes can be used when not enough information is known to give a more specific diagnosis; in that case, “unspecified” is technically more accurate than a more specific but as yet unconfirmed diagnosis. For more guidelines on using ICD-10 codes for diabetes mellitus, you can consult this document.

What is the assignment of a diagnosis code?

The assignment of a diagnosis code is based on the provider’s diagnostic statement that the condition exists. The provider’s statement that the patient has a particular condition is sufficient. Code assignment is not based on clinical criteria used by the provider to establish the diagnosis.

What does "see" mean in the alphabet?

The “see” instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the “see” note to locate the correct code.

What does "with" mean in a code?

The word “with” should be interpreted to mean “associated with” or “due to” when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The classification presumes a causal relationship between the two conditions linked by these terms in the Alphabetic Index or Tabular List.

What does excludes2 mean in medical terminology?

type 2 Excludes note represents “Not included here.” An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.

What is the ICD-10-CM?

The ICD-10-CM has two types of excludes notes. Each type of note has a different definition for use but they are all similar in that they indicate that codes excluded from each other are independent of each other.

What is the convention of ICd 10?

The conventions for the ICD-10-CM are the general rules for use of the classification independent of the guidelines. These conventions are incorporated within the Alphabetic Index and Tabular List of the ICD-10-CM as instructional notes.

What are conventions and guidelines?

The conventions, general guidelines and chapter-specific guidelines are applicable to all health care settings unless otherwise indicated. The conventions and instructions of the classification take precedence over guidelines.

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