ICD Code R73.01

ICD code R73.01 is used to identify a condition known as impaired fasting glucose. This condition is characterized by higher than normal blood sugar levels after a period of fasting, but not high enough to be classified as diabetes. It is often considered a pre-diabetic state, indicating an increased risk of developing type 2 diabetes if lifestyle changes are not implemented. This code is crucial for healthcare providers to document and monitor patients who may need interventions to prevent the progression to diabetes.

1. Fasting Blood Glucose Levels: Use the ICD code when a patient's fasting blood glucose level is measured between 100 mg/dL (5.6 mmol/L) and 125 mg/dL (6.9 mmol/L). This range indicates impaired fasting glucose, which is a pre-diabetic state.

2. Absence of Diabetes Diagnosis: Ensure that the patient has not been diagnosed with diabetes mellitus. The ICD code is applicable only when the fasting glucose levels are elevated but do not meet the criteria for diabetes.

3. Routine Screening or Monitoring: Apply the ICD code during routine health screenings or when monitoring patients with risk factors for diabetes, such as obesity, family history of diabetes, or metabolic syndrome.

4. Follow-Up Testing: Use the ICD code when follow-up testing is conducted to monitor changes in fasting glucose levels over time, especially if the patient is undergoing lifestyle modifications or interventions aimed at reducing the risk of developing diabetes.

5. Documentation of Symptoms: Although impaired fasting glucose may not present with overt symptoms, document any related symptoms such as increased thirst, frequent urination, or unexplained weight loss, which may warrant further investigation.

6. Risk Assessment: Utilize the ICD code as part of a comprehensive risk assessment for cardiovascular disease, as impaired fasting glucose is a known risk factor for developing cardiovascular conditions.

By adhering to these criteria, healthcare providers can accurately document and manage patients with impaired fasting glucose, facilitating appropriate interventions and monitoring.

For the ICD code R73.01, which pertains to impaired fasting glucose, the relevant CPT codes that may be applicable for treatment or management include:

1. 82947 - Glucose; quantitative, blood (except reagent strip)

2. 82950 - Glucose; post glucose dose (includes glucose)

3. 82951 - Glucose; tolerance test (GTT), three specimens (includes glucose)

4. 83036 - Hemoglobin; glycosylated (A1c)

These CPT codes are commonly used in the context of diagnosing and monitoring conditions related to impaired fasting glucose. It's important for healthcare providers to select the appropriate CPT code based on the specific services rendered and the clinical context.

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