ICD-10 Coding for Neuropathy Pain(G60.0, E11.42)
Complete ICD-10-CM coding and documentation guide for Neuropathy Pain. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Neuropathy Pain
G60-G64Primary Range
Polyneuropathies and other disorders of the peripheral nervous system
This range includes codes for various types of neuropathies, including diabetic and hereditary neuropathies.
Diabetes mellitus
Includes codes for diabetic neuropathy, which is a common cause of neuropathic pain.
Pain, not elsewhere classified
Includes codes for pain management, which can be primary when the encounter is for pain control.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| G60.0 | Hereditary motor and sensory neuropathy | Use when hereditary neuropathy is confirmed by genetic testing. |
|
| E11.42 | Type 2 diabetes mellitus with diabetic polyneuropathy | Use when neuropathy is secondary to type 2 diabetes, with supporting lab results. |
|
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 pain
Essential facts and insights about Neuropathy Pain
Primary ICD-10-CM Codes for neuropathy pain
Decision Criteria
clinical Criteria
- Genetic testing confirms hereditary neuropathy.
Applicable To
- Charcot-Marie-Tooth disease
Excludes
- Diabetic neuropathy (E11.42)
Clinical Validation Requirements
- Genetic testing (PMP22 deletion)
- Onion bulb formations on nerve biopsy
Code-Specific Risks
- Misclassification if genetic testing is not documented.
Coding Notes
- Ensure genetic confirmation is documented for hereditary neuropathies.
E11.42 - Type 2 diabetes mellitus with diabetic polyneuropathy
Use when neuropathy is secondary to type 2 diabetes, with supporting lab results.
Applicable To
- Diabetic neuropathy
Excludes
- Hereditary neuropathy (G60.0)
Clinical Validation Requirements
- HbA1c >6.5%
- Abnormal monofilament test
- 2/3 abnormal nerve conduction studies
Coding Notes
Link neuropathy to diabetes in documentation.
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 Neuropathy Pain to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G60.0.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.
Mitigation Strategy
Use specific codes and document the cause of neuropathy., Regularly update coding knowledge.
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of health records.
Mitigation Strategy
Ensure documentation specifies the type and cause of neuropathy.
Impact
Use of unspecified codes can trigger audits.
Mitigation Strategy
Ensure documentation supports specific code selection.
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 Pain, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Neuropathy Pain
Use these documentation templates to ensure complete and accurate documentation for Neuropathy Pain. These templates include all required elements for proper coding and billing.
Diabetic Neuropathy with Chronic Pain
Specialty: EndocrinologyRequired Elements
- Patient history
- Diabetes management
- Neuropathy symptoms
- Pain assessment
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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