ICD-10 Coding for Peripheral Neuropathy of the Feet(E11.42, G62.9)
Complete ICD-10-CM coding and documentation guide for Peripheral 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 Peripheral Neuropathy of 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 with bilateral symptoms. |
|
| G62.9 | Unspecified polyneuropathy | Use when neuropathy is idiopathic or unspecified. |
|
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 Peripheral Neuropathy of the Feet
Primary ICD-10-CM Codes for peripheral neuropathy feet
Decision Criteria
clinical Criteria
- Presence of bilateral foot symptoms and elevated HbA1c.
Applicable To
- Diabetic neuropathy affecting feet
Excludes
- Diabetic mononeuropathy (E11.49)
Clinical Validation Requirements
- Bilateral foot symptoms
- 10g monofilament testing
- HbA1c >6.5%
Code-Specific Risks
- Incorrectly using separate diabetes and neuropathy codes.
Coding Notes
- Ensure linkage to diabetes is documented.
G62.9 - Unspecified polyneuropathy
Use when neuropathy is idiopathic or unspecified.
Applicable To
- Idiopathic peripheral neuropathy
Excludes
- Diabetic polyneuropathy (E11.42)
Clinical Validation Requirements
- Negative diabetes workup
- No underlying cause documented
Coding Notes
Default to polyneuropathy if unspecified.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Peripheral 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: May lead to incorrect diagnosis coding., Regulatory: Non-compliance with documentation standards., Financial: Potential reimbursement issues.
Mitigation Strategy
Use specific terms and test results.
Impact
Reimbursement: May affect DRG assignment and reimbursement., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate representation of patient's condition.
Mitigation Strategy
Use E11.42 for diabetic neuropathy.
Impact
Using separate codes for diabetes and neuropathy instead of combination codes.
Mitigation Strategy
Ensure documentation clearly links neuropathy to diabetes.
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 Neuropathy of the Feet, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Peripheral Neuropathy of the Feet
Use these documentation templates to ensure complete and accurate documentation for Peripheral Neuropathy of the Feet. These templates include all required elements for proper coding and billing.
Diabetic Neuropathy Assessment
Specialty: EndocrinologyRequired Elements
- Symptoms description
- Monofilament test results
- HbA1c levels
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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