R73.03
R73.03: Prediabetes
Billable / specific codeICD-10-CM
R73.03 is a billable, specific ICD-10-CM code for prediabetes. It is valid for submission on a claim.
Check R73.03 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Latent diabetes
Excludes1 inherited from the categories above R73.03
A category’s note binds every code beneath it.
Written on R73.0: Abnormal glucose
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
R73.03 is named in 9 Medicare coverage policies: 9 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56686Billing and Coding: HbA1c
- A60204Billing and Coding: MolDX: Biomarker Testing for Risk Stratification in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis
- A60205Billing and Coding: MolDX: Biomarker Testing in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis
- A60214Billing and Coding: MolDX: Biomarker Testing for Risk Stratification in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis
Alphabetic index entries that lead here
- Prediabetes, prediabetic
- Borderline›diabetes mellitus
- Diabetes, diabetic›latent
Code history
Unchanged in every release from FY2024 to FY2027.