R73.03 — Prediabetes
Is R73.03 billable?
Yes — R73.03 is billable for FY2027. R73.03 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. R73.03 may be submitted for encounters from October 1, 2026 through September 30, 2027.
R73.03 at a glance
| Code | R73.03 |
|---|---|
| Description | Prediabetes |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does R73.03 group to?
R73.03 sits in MDC 10 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 640Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCCmedical
- 641Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without MCCmedical
How is R73.03 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to R73.03. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Prediabetes, prediabetic
- Borderline › diabetes mellitus
- Diabetes, diabetic › latent (mellitus) (sugar)
Inclusion terms
Alternative wording in documentation that is classified to R73.03.
- Latent diabetes
Excludes1 — never code together — inherited from R73
The conditions below can never be reported together with R73.03 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes1 — never code together — inherited from R73.0
The conditions below can never be reported together with R73.03 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from Chapter 18
The conditions below are not part of R73.03, but a patient may have both at the same time. When documentation supports it, R73.03 and the excluded code may both be reported.
Excludes2 — not included here — inherited from R70-R79
The conditions below are not part of R73.03, but a patient may have both at the same time. When documentation supports it, R73.03 and the excluded code may both be reported.
- abnormal findings on antenatal screening of mother (O28.-)
- abnormalities of lipids (E78.-)
- abnormalities of platelets and thrombocytes (D69.-)
- abnormalities of white blood cells classified elsewhere (D70-D72)
- coagulation hemorrhagic disorders (D65-D68)
- diagnostic abnormal findings classified elsewhere - see Alphabetical Index
- hemorrhagic and hematological disorders of newborn (P50-P61)
How long has R73.03 existed?
R73.03 first appears in FY2018 (FY2017 is not available, so it may have appeared then).
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.