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R81
ICD-10-CM
Glycosuria

Understand glycosuria diagnosis, symptoms, and treatment. Find information on glucose in urine, renal glycosuria, diabetes mellitus, and gestational diabetes. Learn about medical coding for glycosuria, including ICD-10 codes, and clinical documentation best practices. Explore lab tests, blood glucose levels, and urine glucose tests. Discover resources for healthcare professionals, including diagnostic criteria and management guidelines for patients with glycosuria.

Also known as

Glucosuria
Sugar in urine

Diagnosis Snapshot

Key Facts
  • Definition : Glucose in urine, often indicating high blood sugar.
  • Clinical Signs : Frequent urination, excessive thirst, unexplained weight loss.
  • Common Settings : Diabetes mellitus, pregnancy (gestational diabetes), kidney disease.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC R81 Coding
R81

Glycosuria

Presence of glucose in the urine.

E08-E13

Diabetes mellitus

Group of metabolic disorders characterized by hyperglycemia.

O24

Diabetes mellitus in pregnancy

Gestational or pre-existing diabetes complicating pregnancy.

R73.9

Abnormal glucose

Unspecified abnormality of glucose level.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the glycosuria due to diabetes mellitus?

  • Yes

    Type 1 diabetes?

  • No

    Is it renal glycosuria?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Glucose in urine
Diabetes mellitus
Renal glycosuria

Documentation Best Practices

Documentation Checklist
  • Document glucose in urine: method, result.
  • Confirm persistent glycosuria, not isolated incident.
  • Exclude other causes: diabetes, pregnancy, meds.
  • Correlate with blood glucose levels and HbA1c.
  • Specify type: renal, alimentary, etc. if known.

Coding and Audit Risks

Common Risks
  • Unspecified Diabetes Coding

    Coding glycosuria without specifying underlying diabetes (if present) leads to inaccurate severity and reimbursement.

  • Renal Glycosuria Overlook

    Miscoding glycosuria due to renal tubular defects as diabetic glycosuria impacts quality metrics and patient care.

  • Gestational Diabetes Misdiagnosis

    Failing to link glycosuria with gestational diabetes during pregnancy can result in inadequate prenatal care and coding errors.

Mitigation Tips

Best Practices
  • Document glycosuria severity, frequency, and associated symptoms for accurate ICD-10 coding (R81).
  • Ensure proper CPT coding for glucose testing (e.g., 82947, 82948) to reflect clinical intent.
  • Correlate glycosuria with blood glucose levels, HbA1c, and other lab results for improved CDI.
  • Query physician for clarification if documentation lacks specificity for diabetes diagnosis (E08-E13).
  • Implement regular training for coders and CDI specialists on glycosuria documentation and coding guidelines for compliance.

Clinical Decision Support

Checklist
  • Confirm elevated glucose in urine sample (ICD-10 R81)
  • Evaluate serum glucose levels for hyperglycemia (SNOMED CT 2376)
  • Assess patient history for diabetes (ICD-10 E10-E14)
  • Consider renal glycosuria if serum glucose normal (ICD-10 N28.1)
  • Review medications impacting glucose levels (RxNorm)

Reimbursement and Quality Metrics

Impact Summary
  • Glycosuria reimbursement hinges on accurate ICD-10 coding (R81, E08-E13 with complication) impacting revenue cycle management.
  • Quality metrics for diabetes management are affected by glycosuria diagnosis coding accuracy in hospital reporting.
  • Underlying cause coding like diabetes affects glycosuria reimbursement and quality reporting for chronic care management.
  • Proper documentation of glycosuria impacts medical billing, HCC coding, and risk adjustment for value-based care.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code R81 for glycosuria screening
  • Confirm diabetes status, code E08-E13
  • Exclude pregnancy, code O24
  • Use additional codes for underlying causes
  • Document glycosuria severity, type

Documentation Templates

Patient presents with glycosuria, defined as glucose in urine, confirmed by urinalysis showing positive glucose and elevated urine glucose concentration.  Differential diagnosis includes diabetes mellitus type 1, diabetes mellitus type 2, gestational diabetes, renal glycosuria, and other causes of hyperglycemia.  Patient's fasting blood glucose, HbA1c, and complete metabolic panel were ordered to evaluate for underlying diabetes and assess renal function.  Patient history was reviewed for risk factors such as family history of diabetes, obesity, polyuria, polydipsia, polyphagia, and recent infections.  Physical exam revealed  (insert relevant findings, e.g., normal weight, no signs of dehydration).  Based on the initial assessment, the preliminary diagnosis is (insert suspected cause of glycosuria, e.g., renal glycosuria vs. diabetes mellitus).  Further investigations, including glucose tolerance test and assessment of renal glucose threshold, may be indicated depending on initial laboratory results.  Patient education provided regarding glucose monitoring, dietary modifications, and potential need for medication management.  Follow-up appointment scheduled to review laboratory findings and discuss management plan based on confirmed etiology of glycosuria.  ICD-10 code R81 (abnormal findings on examination of urine) and CPT code 81003 (urinalysis, automated, without microscopy) are provisionally considered pending final diagnosis.  Medical billing will be adjusted based on the definitive diagnosis and treatment plan.
Glycosuria - AI-Powered ICD-10 Documentation