ICD-10 Coding for Impaired Glucose Tolerance(R73.03, R73.09)
Complete ICD-10-CM coding and documentation guide for Impaired Glucose Tolerance. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Impaired Glucose Tolerance
R73.0-R73.9Primary Range
Abnormal glucose levels
This range includes codes for various abnormal glucose levels, including prediabetes and other non-specific glucose abnormalities.
Diabetes mellitus
This range is relevant when impaired glucose tolerance progresses to diabetes mellitus.
Abnormal glucose complicating pregnancy
Used for gestational glucose intolerance without diabetes criteria.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R73.03 | Prediabetes | Use when diagnostic criteria for prediabetes are met. |
|
| R73.09 | Other abnormal glucose | Use for abnormal glucose levels not meeting prediabetes criteria. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for impaired glucose tolerance
Essential facts and insights about Impaired Glucose Tolerance
Primary ICD-10-CM Codes for impaired glucose tolerance
Decision Criteria
clinical Criteria
- FPG between 100-125 mg/dL or 2-hour OGTT between 140-199 mg/dL
Applicable To
- Impaired glucose tolerance
Excludes
- Diabetes mellitus (E08-E13)
Clinical Validation Requirements
- Fasting Plasma Glucose (FPG) 100-125 mg/dL
- 2-hour OGTT 140-199 mg/dL
Code-Specific Risks
- Incorrect use without meeting diagnostic criteria
Coding Notes
- Ensure lab results meet prediabetes criteria before coding.
R73.09 - Other abnormal glucose
Use for abnormal glucose levels not meeting prediabetes criteria.
Applicable To
- Transient hyperglycemia
Excludes
- Prediabetes (R73.03)
Clinical Validation Requirements
- Random glucose 110-140 mg/dL without meeting OGTT thresholds
Coding Notes
Document specific glucose levels to justify code use.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Obesity
E66.-Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Impaired Glucose Tolerance to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R73.03.
Impact
Clinical: Misdiagnosis of patient condition., Regulatory: Non-compliance with ICD-10 guidelines., Financial: Potential claim denials.
Mitigation Strategy
Verify lab results meet prediabetes criteria.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records and risk adjustment scores.
Mitigation Strategy
Ensure lab results meet prediabetes thresholds before coding.
Impact
Coding R73.03 without meeting criteria.
Mitigation Strategy
Implement checks for lab result documentation.
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 Impaired Glucose Tolerance, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Impaired Glucose Tolerance
Use these documentation templates to ensure complete and accurate documentation for Impaired Glucose Tolerance. These templates include all required elements for proper coding and billing.
Confirmed IGT
Specialty: EndocrinologyRequired Elements
- Patient demographics
- Lab results
- Diagnosis
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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