Understanding Glucose Tolerance Disorders: Find information on diagnosis, clinical documentation, and medical coding for impaired glucose tolerance, gestational diabetes, prediabetes, and other glucose metabolism issues. Learn about ICD-10 codes, diagnostic criteria, and healthcare guidelines for effective patient care and accurate medical billing related to glucose intolerance and abnormal blood sugar levels. Explore resources for healthcare professionals, including physicians, nurses, and medical coders.
Also known as
Abnorm glucose tolerance test
Impaired glucose regulation, not yet diabetes.
Drug-induced hyperglycemia
High blood sugar caused by medication use.
Gestational diabetes mellitus
High blood sugar first arising during pregnancy.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the patient pregnant?
Yes
Gestational diabetes confirmed?
No
Diabetes Mellitus Type 1 or 2?
When to use each related code
Description |
---|
Impaired Glucose Tolerance |
Gestational Diabetes |
Other specified glucose tolerance disorder |
Patient presents with signs and symptoms suggestive of a glucose tolerance disorder. Presenting complaints may include polyuria, polydipsia, polyphagia, unexplained weight loss, fatigue, blurred vision, or recurrent infections. A comprehensive medical history was obtained, including family history of diabetes, gestational diabetes, or other endocrine disorders. Patient's current medications, dietary habits, and exercise regimen were also reviewed. Physical examination findings are documented, including vital signs, BMI, and assessment for signs of insulin resistance such as acanthosis nigricans. Diagnostic testing was performed to assess glucose metabolism and confirm the diagnosis. This may include fasting blood glucose, oral glucose tolerance test (OGTT), hemoglobin A1c (HbA1c), or random plasma glucose. Results of these tests are documented, including specific numerical values and units. Differential diagnoses considered include prediabetes, type 1 diabetes, type 2 diabetes, gestational diabetes, and other forms of impaired glucose tolerance. Based on the clinical presentation, diagnostic findings, and patient history, the diagnosis of [Specific Glucose Tolerance Disorder, e.g., Impaired Fasting Glucose, Impaired Glucose Tolerance, Type 2 Diabetes Mellitus] is established. Treatment plan includes patient education on lifestyle modifications such as diet, exercise, and weight management. Pharmacological interventions, including oral hypoglycemic agents or insulin therapy, may be initiated based on the specific diagnosis and severity of hyperglycemia. Referral to a registered dietitian, certified diabetes educator, or endocrinologist may be considered for comprehensive diabetes management and education. Follow-up appointments are scheduled to monitor treatment response, assess glycemic control, and address any complications or comorbidities. Patient understanding of the diagnosis, treatment plan, and self-management strategies is documented.