ICD-10 Coding for Peripheral Neuritis(E11.42)
Complete ICD-10-CM coding and documentation guide for Peripheral Neuritis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Peripheral Neuritis
E11.40-E11.49Primary Range
Type 2 diabetes mellitus with neurological complications
This range includes codes for diabetic neuropathies, which are relevant when peripheral neuritis is associated with diabetes.
Polyneuropathies and other disorders of the peripheral nervous system
This range includes codes for polyneuropathies not specifically linked to diabetes.
Key Information: ICD-10 code for peripheral neuritis
Essential facts and insights about Peripheral Neuritis
Primary ICD-10-CM Code for peripheral neuritis
Decision Criteria
clinical Criteria
- Presence of diabetes and documented polyneuropathy
coding Criteria
- Use combination code for diabetes with complications
Applicable To
- Diabetic peripheral neuropathy
- Diabetic polyneuropathy
Clinical Validation Requirements
- Nerve conduction studies showing symmetric sensorimotor deficits
- HbA1c ≥6.5% confirming diabetes
Code-Specific Risks
- Misclassification if polyneuropathy is not confirmed
- Incorrect use if diabetes is not documented
Coding Notes
- Ensure documentation links neuropathy to diabetes explicitly.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Mononeuropathy, unspecified
G58.9Differential 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 Neuritis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E11.42.
Impact
Clinical: May affect treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Ensure detailed documentation of neuropathy type., Query provider if documentation is unclear.
Impact
Reimbursement: Incorrect coding may lead to reduced reimbursement., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate healthcare data reporting.
Mitigation Strategy
Use E11.42 when polyneuropathy is specified.
Impact
Incorrect use of unspecified codes for documented complications.
Mitigation Strategy
Ensure documentation supports specific complication codes.
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 Neuritis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Peripheral Neuritis
Use these documentation templates to ensure complete and accurate documentation for Peripheral Neuritis. These templates include all required elements for proper coding and billing.
Diabetes with polyneuropathy
Specialty: EndocrinologyRequired Elements
- Diabetes type
- Neuropathy type
- Link between diabetes and neuropathy
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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