ICD-10 Coding for Elevated Fasting Glucose(R73.01)
Complete ICD-10-CM coding and documentation guide for Elevated Fasting Glucose. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Elevated Fasting Glucose
R73.0-R73.9Primary Range
Abnormal glucose levels
This range includes codes for various types of abnormal glucose levels, including impaired fasting glucose.
Key Information: ICD-10 code for elevated fasting glucose
Essential facts and insights about Elevated Fasting Glucose
Primary ICD-10-CM Code for elevated fasting glucose
Decision Criteria
clinical Criteria
- Fasting glucose between 100–125 mg/dL
documentation Criteria
- Exclusion of diabetes diagnosis
Applicable To
- Fasting glucose 100–125 mg/dL
Excludes
- Diabetes mellitus (E11.9)
Clinical Validation Requirements
- Fasting glucose levels between 100–125 mg/dL on two separate occasions
- Exclusion of diabetes diagnosis
Code-Specific Risks
- Misclassification as diabetes
- Inadequate documentation of lab values
Coding Notes
- Ensure documentation specifies 'impaired fasting glucose' with lab results.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for screening for diabetes mellitus
Z13.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Elevated Fasting Glucose to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R73.01.
Impact
Clinical: Misleading diagnosis can affect patient management., Regulatory: Non-compliance with coding guidelines., Financial: Potential for incorrect billing and reimbursement.
Mitigation Strategy
Verify lab results before coding., Consult provider for clarification if needed.
Impact
Reimbursement: Incorrect coding may lead to inappropriate reimbursement., Compliance: Misclassification can result in non-compliance with coding standards., Data Quality: Affects the accuracy of patient records and data reporting.
Mitigation Strategy
Ensure fasting glucose levels and symptoms do not meet diabetes criteria.
Impact
Using diabetes codes without confirmation can trigger audits.
Mitigation Strategy
Ensure proper documentation and lab results support the code used.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Elevated Fasting Glucose, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Elevated Fasting Glucose
Use these documentation templates to ensure complete and accurate documentation for Elevated Fasting Glucose. These templates include all required elements for proper coding and billing.
Primary Care Visit for Elevated Glucose
Specialty: Primary CareRequired Elements
- Patient history
- Fasting glucose levels
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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