ICD-10 Coding for Impaired Fasting Glycaemia(R73.01)
Complete ICD-10-CM coding and documentation guide for Impaired Fasting Glycaemia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Impaired Fasting Glycaemia
R73-R73.9Primary Range
Abnormal glucose levels
This range includes codes for various abnormal glucose levels, including impaired fasting glycaemia.
Key Information: ICD-10 code for impaired fasting glycaemia
Essential facts and insights about Impaired Fasting Glycaemia
Primary ICD-10-CM Code for impaired fasting glycaemia
Decision Criteria
clinical Criteria
- Fasting glucose between 100-125 mg/dL
documentation Criteria
- Explicit documentation of fasting glucose levels
Applicable To
- Fasting glucose 100-125 mg/dL
Excludes
- Diabetes mellitus (E11.9)
Clinical Validation Requirements
- Fasting glucose between 100-125 mg/dL
- No diagnosis of diabetes
Code-Specific Risks
- Misclassification as diabetes
- Omission of underlying conditions
Coding Notes
- Ensure documentation specifies fasting glucose levels and absence of diabetes diagnosis.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Impaired Fasting Glycaemia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R73.01.
Impact
Clinical: Inaccurate diagnosis and treatment, Regulatory: Potential audit issues, Financial: Claim denials
Mitigation Strategy
Use specific lab values, Avoid terms like 'borderline glucose'
Impact
Reimbursement: Incorrect DRG assignment may affect reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Ensure fasting glucose is documented and diabetes is ruled out.
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 Glycaemia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Impaired Fasting Glycaemia
Use these documentation templates to ensure complete and accurate documentation for Impaired Fasting Glycaemia. These templates include all required elements for proper coding and billing.
Routine check-up with elevated fasting 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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