ICD-10 R73.03
Billable / SpecificPrediabetes
About ICD-10-CM R73.03
ICD-10-CM code R73.03 represents Prediabetes. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R73). The 2026 edition of ICD-10-CM R73.03 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under R73.03. Per CMS ICD-10-CM Tabular 2026.
- Latent diabetes
Medicare LCD Coverage for R73.03
Local Coverage Determinations (LCDs) from CMS MACs that list R73.03 as a covered diagnosis.
Showing top 10 of 30 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing R73.03.
5 Medicare
CPT Codes Commonly Billed with R73.03
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 99203 New patient office visit — common complaints plus chronic conditions: HTN, diabetes, hyperlipidemia, asthma, GERD, back pain, migraine, tachycardia, prediabetes Primary Care
- 99213 Established patient — HTN follow-up, diabetes management, hyperlipidemia, asthma, anxiety, common complaints, back pain, GERD, migraine, acne, joint pain, prediabetes, obesity, anemia, hypothyroid, fatigue Primary Care
- 80053 Comprehensive metabolic panel — diabetes, HTN, CKD, hyperlipidemia, electrolyte disorders, anemia, thyroid, prediabetes, abnormal labs, routine exam, screening Laboratory
- 83036 Hemoglobin A1c — type 2 diabetes, type 1 diabetes, prediabetes, diabetes screening, diabetic kidney disease, diabetic retinopathy Laboratory
- 82947 Glucose quantitative — diabetes, prediabetes, hypoglycemia, diabetes screening, altered consciousness, syncope Laboratory
- 95250 Continuous glucose monitoring — uncontrolled T2DM, uncontrolled T1DM, diabetes management, prediabetes Endocrinology
- 0003M CMS LCD: Billing and Coding: MolDX: Biomarker Testing for Risk Stratification in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis CMS LCD
- 0468U CMS LCD: Billing and Coding: MolDX: Biomarker Testing for Risk Stratification in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis CMS LCD
- 0166U CMS LCD: Billing and Coding: MolDX: Biomarker Testing for Risk Stratification in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis CMS LCD
- 81517 CMS LCD: Billing and Coding: MolDX: Biomarker Testing for Risk Stratification in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis CMS LCD
Convert R73.03 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| R73.03 | 79029 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To R73.03
Other codes in section R70-R79 (Abnormal findings on examination of blood, without diagnosis).
ICD-10 R73.03, Billing FAQ
Is ICD-10 code R73.03 billable? +
Yes, R73.03 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to R73.03? +
ICD-10 R73.03 includes: Latent diabetes.
What CPT codes are commonly billed with R73.03? +
Procedures frequently paired with R73.03 include: 99203, 99213, 80053, 83036, 82947.
What ICD-9 codes does R73.03 map to? +
Per CMS GEMs, R73.03 maps to ICD-9 codes: 79029. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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