ICD-10 Coding for Type 2 Diabetes Mellitus with Peripheral Neuropathy(E11.42)
Complete ICD-10-CM coding and documentation guide for Type 2 Diabetes Mellitus with Peripheral Neuropathy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Type 2 Diabetes Mellitus with Peripheral Neuropathy
E11.0-E11.9Primary Range
Type 2 diabetes mellitus
This range includes all codes related to type 2 diabetes mellitus, including those with complications such as neuropathy.
Key Information: ICD-10 code for type 2 diabetes with peripheral neuropathy
Essential facts and insights about Type 2 Diabetes Mellitus with Peripheral Neuropathy
Primary ICD-10-CM Code for diabetes mellitus type 2 with peripheral neuropathy
Decision Criteria
clinical Criteria
- Presence of bilateral symptoms and abnormal nerve conduction studies
documentation Criteria
- Explicit mention of diabetic polyneuropathy
Applicable To
- Diabetic peripheral neuropathy
- Diabetic polyneuropathy
Excludes
- Non-diabetic neuropathy
- Mononeuropathy
Clinical Validation Requirements
- Bilateral symptoms such as numbness or tingling
- Abnormal monofilament testing
- Nerve conduction studies confirming polyneuropathy
Code-Specific Risks
- Incorrectly coding unspecified neuropathy as E11.42 without proper documentation
Coding Notes
- Ensure documentation explicitly links diabetes to polyneuropathy.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Polyneuropathy, unspecified
G62.9Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Type 2 Diabetes Mellitus with Peripheral Neuropathy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E11.42.
Impact
Clinical: May lead to inadequate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential loss of reimbursement.
Mitigation Strategy
Educate providers on documentation requirements, Use templates to ensure comprehensive documentation
Impact
Reimbursement: May result in lower reimbursement due to incorrect DRG assignment., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data affecting patient care and outcomes.
Mitigation Strategy
Default to E11.42 when peripheral neuropathy is documented unless mononeuropathy is specified.
Impact
Inaccurate documentation leading to incorrect coding.
Mitigation Strategy
Regular audits and provider education.
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 Type 2 Diabetes Mellitus with Peripheral Neuropathy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Type 2 Diabetes Mellitus with Peripheral Neuropathy
Use these documentation templates to ensure complete and accurate documentation for Type 2 Diabetes Mellitus with Peripheral Neuropathy. These templates include all required elements for proper coding and billing.
Neurology Progress Note
Specialty: NeurologyRequired Elements
- Subjective symptoms
- Objective findings
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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