ICD-10 Coding for Diabetes with Peripheral Neuropathy(E11.42, E10.42)
Complete ICD-10-CM coding and documentation guide for Diabetes 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 Diabetes with Peripheral Neuropathy
E08-E13Primary Range
Diabetes mellitus
This range includes all diabetes mellitus codes, including those with complications such as peripheral neuropathy.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E11.42 | Type 2 diabetes mellitus with diabetic polyneuropathy | Use when type 2 diabetes is documented with polyneuropathy symptoms and confirmed by clinical tests. |
|
| E10.42 | Type 1 diabetes mellitus with diabetic polyneuropathy | Use when type 1 diabetes is documented with polyneuropathy symptoms and confirmed by clinical tests. |
|
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 diabetes with peripheral neuropathy
Essential facts and insights about Diabetes with Peripheral Neuropathy
Primary ICD-10-CM Codes for diabetes with peripheral neuropathy
Decision Criteria
clinical Criteria
- Presence of diabetic polyneuropathy symptoms confirmed by tests.
Applicable To
- Diabetic polyneuropathy
Excludes
- Alcoholic polyneuropathy (G62.1)
Clinical Validation Requirements
- Bilateral foot numbness
- 10g monofilament insensitivity
- Vibration perception >25V
Code-Specific Risks
- Ensure neuropathy is linked to diabetes in documentation.
Coding Notes
- Always document the link between diabetes and neuropathy.
E10.42 - Type 1 diabetes mellitus with diabetic polyneuropathy
Use when type 1 diabetes is documented with polyneuropathy symptoms and confirmed by clinical tests.
Applicable To
- Diabetic polyneuropathy
Excludes
- Alcoholic polyneuropathy (G62.1)
Clinical Validation Requirements
- Symmetrical distal neuropathy
- Confirmed by nerve conduction studies
Coding Notes
Always document the link between diabetes and neuropathy.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Long-term (current) use of insulin
Z79.4Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Diabetes 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: Inaccurate clinical data representation., Regulatory: Non-compliance with coding guidelines., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Ensure specific documentation of neuropathy type.
Impact
Reimbursement: May lead to denied claims or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Explicitly document 'diabetic neuropathy' or 'neuropathy due to diabetes'.
Impact
Using unspecified codes like E11.40 instead of specific ones.
Mitigation Strategy
Ensure documentation specifies the type of neuropathy.
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 Diabetes with Peripheral Neuropathy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Diabetes with Peripheral Neuropathy
Use these documentation templates to ensure complete and accurate documentation for Diabetes with Peripheral Neuropathy. These templates include all required elements for proper coding and billing.
Diabetes with peripheral neuropathy in a podiatry setting
Specialty: PodiatryRequired Elements
- Chief complaint
- History of present illness
- Physical exam findings
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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