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R73.03

Billable

Prediabetes

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A condition where blood sugar levels are higher than normal but not yet diabetic, indicating a high risk of developing type 2 diabetes.

Coding Tips

  • •Prediabetes requires documentation of either impaired fasting glucose or impaired glucose tolerance
  • •This code is appropriate for patients at risk who need preventive interventions

Code Hierarchy

└R73Elevated blood glucose level└R73.0Abnormal glucose└R73.03Prediabetes
└R73.03Prediabetes

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