ICD Code R73.09

ICD code R73.09 is used to identify a condition where a patient has abnormal glucose levels that do not fit into the specific categories of diabetes or other defined glucose disorders. This code is typically used when a patient's blood sugar levels are higher than normal but not high enough to be classified as diabetes, often referred to as prediabetes or impaired glucose regulation. It helps healthcare providers document and track cases that require monitoring and potential intervention to prevent progression to diabetes.

1. Elevated Fasting Glucose Levels: Use this code when a patient presents with fasting glucose levels that are higher than the normal range but do not meet the criteria for diabetes diagnosis.

2. Impaired Glucose Tolerance: Apply this code for patients who exhibit impaired glucose tolerance, typically identified through an oral glucose tolerance test (OGTT) that shows elevated glucose levels at the two-hour mark.

3. Abnormal Random Glucose Levels: Utilize this code when random glucose tests indicate abnormal levels that are not consistent with a diabetes diagnosis.

4. Elevated Postprandial Glucose Levels: This code is appropriate for patients with elevated glucose levels following meals, which are not high enough to be classified as diabetes.

5. Screening for Prediabetes: Use this code when screening results suggest prediabetes, characterized by glucose levels that are higher than normal but not yet in the diabetic range.

6. Monitoring of Known Glucose Abnormalities: Apply this code for ongoing monitoring of patients with previously identified glucose abnormalities that do not qualify as diabetes.

7. Symptoms of Hyperglycemia: Consider this code when a patient presents with symptoms indicative of hyperglycemia, such as increased thirst, frequent urination, or fatigue, and glucose tests confirm abnormal levels.

8. Follow-up on Abnormal Glucose Findings: Use this code for follow-up visits where previous tests indicated abnormal glucose levels, and further evaluation or monitoring is necessary.

9. Non-Diabetic Hyperglycemia: This code is suitable for patients who exhibit hyperglycemia that is not attributed to diabetes, requiring further investigation or management.

10. Preoperative Evaluation: Apply this code when abnormal glucose levels are identified during preoperative evaluations, necessitating further assessment or intervention before surgery.

For the ICD code R73.09 (Other abnormal glucose), the relevant CPT codes that may be applicable 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. 82952 - Glucose; tolerance test, each additional beyond three specimens (List separately in addition to code for primary procedure)

5. 83036 - Hemoglobin; glycosylated (A1C)

These CPT codes are typically used for diagnostic testing related to glucose levels and may be relevant when billing for services associated with the ICD code R73.09. Always ensure that the selected CPT codes align with the specific services provided and the payer's guidelines.

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