Understand Impaired Fasting Glucose (IFG), also known as prediabetes, with this guide for healthcare professionals. Learn about IFG diagnosis criteria, clinical documentation best practices, and relevant medical coding (ICD-10 codes R73.09, E16.1) for accurate reimbursement. Explore information on blood glucose levels, fasting plasma glucose, and glucose tolerance testing. Find resources for patient education and management of IFG to prevent progression to type 2 diabetes.
Also known as
Impaired fasting glucose
Higher than normal blood sugar after fasting.
Nondiabetic hypoglycemic coma
Coma due to low blood sugar, not related to diabetes.
Abnormal glucose
Unspecified abnormal blood sugar level.
Prediabetes screening
Check-up for higher-than-normal blood sugar levels.
Follow this step-by-step guide to choose the correct ICD-10 code.
Fasting blood glucose level 100-125 mg/dL?
Yes
Symptoms of diabetes?
No
Fasting blood glucose < 100 mg/dL?
When to use each related code
| Description |
|---|
| Impaired Fasting Glucose |
| Impaired Glucose Tolerance |
| Prediabetes |
Using unspecified codes (e.g., R73.09) when more specific IFG documentation is available, leading to inaccurate risk adjustment.
Confusing IFG with prediabetes or diabetes, resulting in incorrect coding (e.g., E16.9 instead of R73.03) and impacting quality metrics.
Insufficient documentation of fasting blood glucose levels and diagnostic criteria for IFG (100-125 mg/dL), causing coding errors and lost revenue.
Patient presents with impaired fasting glucose (IFG), also known as prediabetes, diagnosed based on a fasting plasma glucose (FPG) level of 100-125 mgdL. This elevated blood sugar indicates impaired glucose tolerance and increased risk for developing type 2 diabetes mellitus. Patient denies polyuria, polydipsia, polyphagia, and weight loss. Review of systems otherwise negative. Family history is significant for type 2 diabetes in the patient's mother. Physical exam reveals no abnormalities. Patient education provided regarding lifestyle modifications including dietary changes focusing on a reduced carbohydrate intake and regular exercise to improve insulin sensitivity and glucose control. The importance of weight management and achieving a healthy BMI was emphasized. Discussed the increased risk of cardiovascular disease and microvascular complications associated with prediabetes. Patient instructed to monitor blood glucose levels and return for follow-up testing in three months to reassess FPG levels and evaluate the effectiveness of lifestyle interventions. Diagnosis codes: R73.09 (Other abnormal glucose). ICD-10-CM code E16.1 (Prediabetes, unspecified).