ICD-10 Coding for Neuropathy of the Feet(E11.42, G60.0, G57.30)
Complete ICD-10-CM coding and documentation guide for Neuropathy of the Feet. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Neuropathy of the Feet
E11.4Primary Range
Type 2 diabetes mellitus with neurological complications
This range includes codes for diabetic neuropathy, which is a common cause of neuropathy in the feet.
Polyneuropathies and other disorders of the peripheral nervous system
This range includes codes for hereditary and idiopathic neuropathies affecting the feet.
Lesion of sciatic nerve
This range includes codes for peroneal neuropathy, which can affect the feet.
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 diabetic neuropathy is confirmed in a patient with type 2 diabetes. |
|
| G60.0 | Hereditary motor and sensory neuropathy | Use when hereditary neuropathy is confirmed through genetic testing. |
|
| G57.30 | Lesion of sciatic nerve, unspecified | Use when sciatic nerve lesion is suspected but not specified. |
|
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 neuropathy
Essential facts and insights about Neuropathy of the Feet
Primary ICD-10-CM Codes for neuropathy feet
Decision Criteria
clinical Criteria
- Presence of diabetic polyneuropathy symptoms
coding Criteria
- Linkage of diabetes and neuropathy in documentation
Applicable To
- Diabetic neuropathy
Excludes
- Diabetic autonomic neuropathy (E11.43)
Clinical Validation Requirements
- Documented diagnosis of type 2 diabetes
- Symptoms of neuropathy such as numbness or tingling in the feet
- Nerve conduction studies showing polyneuropathy
Code-Specific Risks
- Incorrectly coding without confirming diabetes linkage
Coding Notes
- Ensure clear documentation linking diabetes to neuropathy.
G60.0 - Hereditary motor and sensory neuropathy
Use when hereditary neuropathy is confirmed through genetic testing.
Applicable To
- Charcot-Marie-Tooth disease
Excludes
- Diabetic neuropathy (E11.42)
Clinical Validation Requirements
- Genetic testing confirming hereditary neuropathy
- Family history of neuropathy
- Clinical symptoms consistent with hereditary neuropathy
Coding Notes
Document genetic test results and family history.
G57.30 - Lesion of sciatic nerve, unspecified
Use when sciatic nerve lesion is suspected but not specified.
Excludes
- Lesion of sciatic nerve, right lower limb (G57.31)
- Lesion of sciatic nerve, left lower limb (G57.32)
Clinical Validation Requirements
- Symptoms of sciatic nerve lesion such as foot drop
- Nerve conduction studies confirming sciatic nerve involvement
Coding Notes
Ensure laterality is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Chronic pain due to neuropathy
G89.21Differential 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 Neuropathy of the Feet to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E11.42.
Impact
Clinical: Leads to incomplete clinical picture, Regulatory: Non-compliance with coding standards, Financial: Potential loss of reimbursement
Mitigation Strategy
Ensure linkage is documented in clinical notes, Review documentation for completeness
Impact
Reimbursement: May result in lower reimbursement rates, Compliance: Non-compliance with coding guidelines, Data Quality: Decreases accuracy of patient records
Mitigation Strategy
Use specific codes like E11.42 for diabetic neuropathy
Impact
Reimbursement: Incorrect coding can affect payment accuracy, Compliance: Violates ICD-10 specificity requirements, Data Quality: Leads to incomplete clinical data
Mitigation Strategy
Specify laterality using G57.31 or G57.32
Impact
Failure to document linkage between diabetes and neuropathy.
Mitigation Strategy
Ensure all clinical notes include linkage statements.
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 Neuropathy of the Feet, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Neuropathy of the Feet
Use these documentation templates to ensure complete and accurate documentation for Neuropathy of the Feet. These templates include all required elements for proper coding and billing.
Diabetic Neuropathy Evaluation
Specialty: EndocrinologyRequired Elements
- Patient history of diabetes
- Symptoms of neuropathy
- Nerve conduction study results
- Linkage between diabetes and neuropathy
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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