Documentation & Coding Risks
Avoid these common issues when documenting Abnormal Lab Results.
Frequently Asked Questions
No, ICD-10 coding requires physician documentation to interpret lab results. Coders cannot infer diagnoses from lab values alone.
Use R73.09 for abnormal glucose levels when no diabetes diagnosis is documented.
Related condition guides
Documentation requirements, coding pitfalls and FAQs for conditions coded with R79.9.