Find information on Hemoglobin A1c (HbA1c) testing, diagnosis, and management. This resource covers Hemoglobin Glycosylated levels, diabetes diagnosis criteria, long-term blood sugar control monitoring, and relevant medical coding (ICD-10 codes) for clinical documentation. Learn about interpreting HbA1c test results and their implications for diabetes care and treatment.
Also known as
Non-insulin-dependent diabetes mellitus
Type 2 diabetes mellitus with various complications.
Diabetes mellitus
Encompasses all forms of diabetes mellitus.
Abnormal glucose
Indicates elevated blood sugar levels.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the HbA1c for diabetes monitoring?
Yes
Is there a documented diagnosis of diabetes?
No
Is it for other medical reasons?
When to use each related code
| Description |
|---|
| Hemoglobin A1c |
| Estimated Average Glucose (eAG) |
| Fructosamine |
Coding with unspecified HbA1c codes when more specific documentation is available, leading to inaccurate severity reflection and reimbursement.
Coding HbA1c without documented confirmation or provider order, increasing risk of denials and compliance issues.
Insufficient documentation to support the medical necessity of the HbA1c test, resulting in audit risks and potential revenue loss.
Patient presents for routine diabetes management or follow-up regarding elevated blood sugar levels. The patient's Hemoglobin A1c (HbA1c), a key indicator of long-term blood glucose control, was measured and evaluated. Results indicate a diagnosis of Hemoglobin Glycosylated, reflecting the average blood glucose levels over the past two to three months. This measurement aids in assessing diabetes management effectiveness and guides treatment adjustments. Discussion included the importance of blood sugar control, potential complications of uncontrolled diabetes such as diabetic neuropathy, retinopathy, and nephropathy, and the role of lifestyle modifications including diet, exercise, and medication adherence in managing the condition. Patient understanding of the Hemoglobin A1c test, its significance in diabetes care, and the correlation between HbA1c levels and average blood glucose was confirmed. The treatment plan was reviewed, emphasizing the importance of regular monitoring and adherence to the prescribed regimen. Follow-up appointment scheduled to reassess HbA1c levels and adjust treatment as necessary. Differential diagnoses considered included impaired glucose tolerance and type 2 diabetes mellitus. ICD-10 codes E11.9 (Type 2 diabetes mellitus without complications) or other appropriate diabetes codes, and CPT code 83036 (Hemoglobin A1c) may be applicable depending on specific circumstances and should be verified. Medical coding and billing practices were adhered to throughout the documentation process.