Billing Codes
ShareCompartir
The following billing codes are associated with prediabetes and diabetes screening and testing, attaching official recognition for medical billing.
| Codes for prediabetes and diabetes screening*,†,‡ | |||
|---|---|---|---|
| International Classification of Diseases (ICD) for diabetes screening |
Current Procedural Terminology (CPT*) for diabetes screening tests |
||
| V77.1 | Diabetes Screening | CPT 82947 | Fasting Plasma Glucose Test |
| 790.2 | Abnormal Glucose | CPT 82950 | Post-meal Glucose (2-hour plasma glucose; 2hPG; 2 hr specimen) |
| 790.21 | Impaired Fasting Glucose | CPT 82951 | Oral Glucose Tolerance (3 specimens with 2 hr value included) |
| 790.22 | Impaired Glucose Tolerance (oral) | CPT 83036 | Hemoglobin A1C |
| 790.29 | Other Abnormal Glucose NEC | CPT 83036QW | Hemoglobin A1C (used for POC test that is CLIA waived [~DCA]) |
| 278.00 | Obesity | ||
| 278.02 | Overweight | ||
* New York State Department of Health. New York State Diabetes Prevention Program (NYS DPP) prediabetes identification and intervention algorithm. New York: NY Dept of Health; 2012.
† American Diabetes Association. Standards of medical care in diabetes—2013. Diabetes Care. January 2013; 36:S11-66. doi: 10.2337/dc13-S011.
‡ Ackermann RT. Coding Guide for Diabetes and Prediabetes Testing. 2013. (Published here with permission from Ronald T. Ackermann MD, MPH.).
Additionally, CPT code 0403T, for preventive behavior change, intensive programs of prevention of diabetes using a standardized diabetes prevention program curriculum, provided to individuals in a group setting—such as the CDC-recognized lifestyle change programs—became effective on January 1, 2016.
- Page last reviewed: January 14, 2016
- Page last updated: January 14, 2016
- Content source:
- Maintained By: