ICD-10 Coding for Peripheral Nerve Disease(G62.9, E11.42)
Complete ICD-10-CM coding and documentation guide for Peripheral Nerve Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Peripheral Nerve Disease
G60-G64Primary Range
Polyneuropathies and other disorders of the peripheral nervous system
This range includes codes for various types of peripheral neuropathies, which are the primary focus for peripheral nerve disease.
Diabetes mellitus
This range includes codes for diabetes mellitus, which often has associated neuropathies that need to be coded in conjunction with peripheral nerve disease.
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 the cause of the polyneuropathy is not specified or known. |
|
| E11.42 | Type 2 diabetes mellitus with diabetic polyneuropathy | Use when neuropathy is directly linked to diabetes mellitus. |
|
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 unspecified polyneuropathy
Essential facts and insights about Peripheral Nerve Disease
Primary ICD-10-CM Codes for peripheral nerve disease
Decision Criteria
clinical Criteria
- No identifiable cause for polyneuropathy
Clinical Validation Requirements
- Nerve conduction studies showing polyneuropathy
- Clinical documentation of neuropathy symptoms without a specified cause
Code-Specific Risks
- Risk of undercoding if a more specific cause is known but not documented
Coding Notes
- Ensure documentation specifies the absence of a known cause to justify using an unspecified code.
E11.42 - Type 2 diabetes mellitus with diabetic polyneuropathy
Use when neuropathy is directly linked to diabetes mellitus.
Applicable To
- Diabetic neuropathy
Excludes
- Polyneuropathy NOS (G62.9)
Clinical Validation Requirements
- Documented diagnosis of diabetes mellitus
- Clinical signs of neuropathy such as numbness or tingling
Coding Notes
Always sequence diabetes code before neuropathy code.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Drug-induced polyneuropathy
G62.0Differential 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 Peripheral Nerve Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G62.9.
Impact
Clinical: Inaccurate patient records, Regulatory: Potential audit issues, Financial: Reduced reimbursement
Mitigation Strategy
Educate providers on documentation requirements, Use templates that prompt for linkage
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of health records.
Mitigation Strategy
Ensure the specific cause is coded, such as E11.42 for diabetic neuropathy.
Impact
Risk of audits due to incorrect sequencing of diabetes and neuropathy codes.
Mitigation Strategy
Educate coders on correct sequencing rules.
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 Peripheral Nerve Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Peripheral Nerve Disease
Use these documentation templates to ensure complete and accurate documentation for Peripheral Nerve Disease. These templates include all required elements for proper coding and billing.
Diabetic neuropathy management
Specialty: EndocrinologyRequired Elements
- Diabetes diagnosis
- Neuropathy symptoms
- Linkage statement
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Peripheral Nerve Disease? Ask your questions below.