ICD-10 Coding for Fiber Neuropathy(G60.8, E11.42)
Complete ICD-10-CM coding and documentation guide for Fiber Neuropathy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Fiber Neuropathy
G60-G64Primary Range
Polyneuropathies and other disorders of the peripheral nervous system
This range includes codes for various types of neuropathies, including small fiber neuropathy.
Diabetes mellitus
Relevant for diabetic neuropathy, which can include small fiber neuropathy as a complication.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| G60.8 | Other hereditary and idiopathic neuropathies | Use for confirmed small fiber neuropathy not related to diabetes. |
|
| E11.42 | Type 2 diabetes mellitus with diabetic polyneuropathy | Use when small fiber neuropathy is a complication of diabetes. |
|
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 small fiber neuropathy
Essential facts and insights about Fiber Neuropathy
Primary ICD-10-CM Codes for fiber neuropathy
Decision Criteria
clinical Criteria
- Presence of burning pain and abnormal QST or IENFD
Applicable To
- Small fiber neuropathy
Excludes
- Diabetic neuropathy (E11.42)
Clinical Validation Requirements
- Abnormal quantitative sensory testing (QST)
- Reduced intraepidermal nerve fiber density (IENFD)
Code-Specific Risks
- Incorrect use for diabetic neuropathy
Coding Notes
- Ensure documentation specifies small fiber neuropathy with clinical validation.
E11.42 - Type 2 diabetes mellitus with diabetic polyneuropathy
Use when small fiber neuropathy is a complication of diabetes.
Applicable To
- Diabetic small fiber neuropathy
Excludes
- Non-diabetic neuropathy (G60.8)
Clinical Validation Requirements
- Diagnosis of diabetes with HbA1c ≥6.5%
- Neuropathy symptoms
Coding Notes
Do not use additional neuropathy codes when this combination code is applicable.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Paresthesia of skin
R20.8Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Fiber Neuropathy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G60.8.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Increases risk of audit., Financial: Potential for claim denials.
Mitigation Strategy
Use specific diagnostic tests, Document detailed clinical findings
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Increases risk of audit., Data Quality: Reduces accuracy of health records.
Mitigation Strategy
Ensure thorough documentation and use specific codes like G60.8 or E11.42.
Impact
High risk of audit if unspecified codes are used without proper documentation.
Mitigation Strategy
Ensure all documentation is complete and specific.
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 Fiber Neuropathy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Fiber Neuropathy
Use these documentation templates to ensure complete and accurate documentation for Fiber Neuropathy. These templates include all required elements for proper coding and billing.
Documenting idiopathic small fiber neuropathy
Specialty: NeurologyRequired Elements
- Patient symptoms
- Test results
- Diagnosis confirmation
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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