ICD-10 Coding for Impaired Fasting Glucose(R73.01)
Complete ICD-10-CM coding and documentation guide for Impaired Fasting Glucose. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Impaired Fasting Glucose
R73.0-R73.9Primary Range
Abnormal glucose levels
This range includes codes for various abnormal glucose levels, including impaired fasting glucose.
Key Information: ICD-10 code for impaired fasting glucose
Essential facts and insights about Impaired Fasting Glucose
Primary ICD-10-CM Code for impaired fasting glucose
Decision Criteria
clinical Criteria
- Fasting glucose levels between 100-125 mg/dL
documentation Criteria
- Documented fasting glucose values on two separate occasions
Applicable To
- Fasting glucose between 100-125 mg/dL
Excludes
- Diabetes mellitus (E11.9)
Clinical Validation Requirements
- Fasting plasma glucose 100-125 mg/dL on two separate occasions
Code-Specific Risks
- Misclassification as diabetes
- Failure to update if diabetes develops
Coding Notes
- Ensure documentation includes specific fasting glucose values.
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 Impaired 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: May lead to misdiagnosis., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always document specific glucose values., Use structured templates.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Misclassification can result in compliance issues., Data Quality: Affects accuracy of patient records.
Mitigation Strategy
Ensure fasting glucose is below 126 mg/dL and no diabetes diagnosis is present.
Impact
Lack of specific glucose values can trigger audits.
Mitigation Strategy
Ensure all lab results are documented with dates.
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 Fasting Glucose, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Impaired Fasting Glucose
Use these documentation templates to ensure complete and accurate documentation for Impaired Fasting Glucose. These templates include all required elements for proper coding and billing.
Primary Care Visit
Specialty: Primary CareRequired Elements
- Fasting glucose values
- Lifestyle modification recommendations
- Follow-up plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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