ICD-10 Coding for Glycosuria(R81, E11.65)
Complete ICD-10-CM coding and documentation guide for Glycosuria. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Glycosuria
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R81 | Glycosuria | Use when glycosuria is an isolated finding without a known cause. |
|
| E11.65 | Type 2 diabetes mellitus with hyperglycemia | Use when glycosuria is due to uncontrolled diabetes. |
|
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 glycosuria
Essential facts and insights about Glycosuria
Primary ICD-10-CM Codes for glycosuria
Decision Criteria
clinical Criteria
- Urine glucose is elevated without corresponding serum hyperglycemia.
coding Criteria
- No known underlying condition causing glycosuria.
Applicable To
- Glucosuria
Excludes
- Diabetes mellitus (E08-E13)
Clinical Validation Requirements
- Quantitative urine glucose ≥150 mg/dL
- Exclusion of hyperglycemia (serum glucose <140 mg/dL)
Code-Specific Risks
- Incorrectly coding R81 when glycosuria is due to a known condition like diabetes.
Coding Notes
- Ensure glycosuria is not due to diabetes before using R81.
E11.65 - Type 2 diabetes mellitus with hyperglycemia
Use when glycosuria is due to uncontrolled diabetes.
Applicable To
- Type 2 diabetes with hyperglycemia
Excludes
- Glycosuria without diabetes (R81)
Clinical Validation Requirements
- HbA1c ≥6.5%
- Random glucose ≥200 mg/dL
Coding Notes
Ensure documentation links glycosuria to diabetes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Renal glycosuria
N25.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Glycosuria to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R81.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with coding guidelines., Financial: Potential for incorrect billing and reimbursement.
Mitigation Strategy
Always document potential causes or related conditions., Use MEAT (Monitor, Evaluate, Assess, Treat) elements.
Impact
Reimbursement: Incorrect coding can affect RAF scores and reimbursement., Compliance: May lead to compliance issues with coding standards., Data Quality: Affects the accuracy of patient records.
Mitigation Strategy
Use E11.65 instead.
Impact
Using R81 when glycosuria is due to diabetes.
Mitigation Strategy
Ensure documentation clearly links glycosuria to its cause.
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 Glycosuria, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Glycosuria
Use these documentation templates to ensure complete and accurate documentation for Glycosuria. These templates include all required elements for proper coding and billing.
Glycosuria in a non-diabetic patient
Specialty: EndocrinologyRequired Elements
- Quantitative urine glucose
- Serum glucose levels
- Exclusion of diabetes
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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