ICD-10 Coding for Painful Neuropathy(G62.9, E11.42)
Complete ICD-10-CM coding and documentation guide for Painful Neuropathy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Painful 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 |
|---|---|---|---|
| G62.9 | Polyneuropathy, unspecified | Use when etiology or type cannot be determined after workup. |
|
| E11.42 | Type 2 diabetes mellitus with diabetic polyneuropathy | Use for patients with type 2 diabetes and documented neuropathy. |
|
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 painful neuropathy
Essential facts and insights about Painful Neuropathy
Primary ICD-10-CM Codes for painful neuropathy
Decision Criteria
clinical Criteria
- Lack of specific etiology after thorough evaluation
Applicable To
- Peripheral neuropathy NOS
Excludes
- Diabetic neuropathy (E11.42)
Clinical Validation Requirements
- Clinical signs of neuropathy without specific etiology
Code-Specific Risks
- Overuse of unspecified codes can lead to audits.
Coding Notes
- Avoid using this code if a more specific code is available.
E11.42 - Type 2 diabetes mellitus with diabetic polyneuropathy
Use for patients with type 2 diabetes and documented neuropathy.
Applicable To
- Diabetic neuropathy
Clinical Validation Requirements
- Diagnosis of type 2 diabetes
- Clinical signs of neuropathy
Coding Notes
Combination code for diabetes and neuropathy.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Painful Neuropathy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G62.9.
Impact
Clinical: Misrepresents the patient's current condition., Regulatory: May lead to coding errors and audits., Financial: Potentially affects reimbursement.
Mitigation Strategy
Use present tense for active conditions., Review documentation for accuracy.
Impact
Reimbursement: May lead to reduced reimbursement rates., Compliance: Increases risk of audits., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Always document the specific type or cause of neuropathy if known.
Impact
Using unspecified codes without proper documentation.
Mitigation Strategy
Ensure thorough documentation of neuropathy type and cause.
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 Painful Neuropathy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Painful Neuropathy
Use these documentation templates to ensure complete and accurate documentation for Painful Neuropathy. These templates include all required elements for proper coding and billing.
Pain Management for Diabetic Neuropathy
Specialty: EndocrinologyRequired Elements
- Subjective pain description
- Objective sensory examination
- Assessment with ICD-10 codes
- Plan including treatment and follow-up
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Painful Neuropathy? Ask your questions below.