ICD-10 Coding for Autonomic Neuropathy(E11.43, G90.09)
Complete ICD-10-CM coding and documentation guide for Autonomic Neuropathy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Autonomic Neuropathy
E08-E13.43Primary Range
Diabetes mellitus with neurological complications
Primary range for diabetic autonomic neuropathy, combining diabetes and neuropathy in one code.
Idiopathic peripheral autonomic neuropathy
Used when autonomic neuropathy is idiopathic, with no underlying condition.
Autonomic neuropathy in diseases classified elsewhere
Used for secondary autonomic neuropathy due to other conditions.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E11.43 | Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy | Use when autonomic neuropathy is directly linked to type 2 diabetes. |
|
| G90.09 | Idiopathic peripheral autonomic neuropathy | Use when autonomic neuropathy is idiopathic with no known cause. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for diabetic autonomic neuropathy
Essential facts and insights about Autonomic Neuropathy
Primary ICD-10-CM Codes for autonomic neuropathy
Decision Criteria
clinical Criteria
- Presence of diabetes with autonomic symptoms
Applicable To
- Diabetic autonomic neuropathy
Excludes
- Idiopathic autonomic neuropathy (G90.09)
Clinical Validation Requirements
- Confirmed diabetes diagnosis
- Symptoms of autonomic dysfunction (e.g., orthostatic hypotension)
- Diagnostic tests such as QSART or tilt table test
Code-Specific Risks
- Incorrectly coding as idiopathic when diabetes is present
Coding Notes
- Ensure diabetes is documented as the cause of neuropathy.
G90.09 - Idiopathic peripheral autonomic neuropathy
Use when autonomic neuropathy is idiopathic with no known cause.
Applicable To
- Idiopathic autonomic neuropathy
Excludes
- Diabetic autonomic neuropathy (E11.43)
Clinical Validation Requirements
- Negative workup for diabetes and other conditions
- Symptoms of autonomic dysfunction
- Confirmed by tests like QSART
Coding Notes
Document negative findings for diabetes or other causes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Autonomic Neuropathy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E11.43.
Impact
Clinical: Leads to inappropriate treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential loss of reimbursement.
Mitigation Strategy
Educate providers on documentation standards, Use templates for consistent documentation
Impact
Reimbursement: May lead to incorrect payment adjustments., Compliance: Could result in audit issues., Data Quality: Affects accuracy of health records.
Mitigation Strategy
Ensure documentation specifies the type of neuropathy and its cause.
Impact
Using general codes instead of specific ones.
Mitigation Strategy
Regular training and audits of coding practices.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Autonomic Neuropathy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Autonomic Neuropathy
Use these documentation templates to ensure complete and accurate documentation for Autonomic Neuropathy. These templates include all required elements for proper coding and billing.
Diabetic autonomic neuropathy
Specialty: EndocrinologyRequired Elements
- Diabetes type and control status
- Specific autonomic symptoms
- Diagnostic test results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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