ICD-10 Coding for Diabetes Mellitus with Gastroparesis(E11.43, K31.84)
Complete ICD-10-CM coding and documentation guide for Diabetes Mellitus with Gastroparesis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Diabetes Mellitus with Gastroparesis
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E11.43 | Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy | Use when documentation specifies 'diabetic gastroparesis' or 'autonomic neuropathy'. |
|
| K31.84 | Gastroparesis | Use as a secondary code with E11.43 unless gastroparesis is unrelated to diabetes. |
|
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 diabetes mellitus with gastroparesis
Essential facts and insights about Diabetes Mellitus with Gastroparesis
Primary ICD-10-CM Codes for diabetes mellitus with gastroparesis
Decision Criteria
clinical Criteria
- Presence of diabetic autonomic neuropathy symptoms
documentation Criteria
- Explicit mention of 'diabetic gastroparesis'
Applicable To
- Diabetic gastroparesis
Excludes
- Non-diabetic gastroparesis
Clinical Validation Requirements
- Gastric emptying study showing delayed gastric emptying
- HbA1c >7%
- Exclusion of mechanical obstruction via EGD
Code-Specific Risks
- Incorrect sequencing if not paired with K31.84 when required
Coding Notes
- Ensure documentation explicitly links gastroparesis to diabetes.
K31.84 - Gastroparesis
Use as a secondary code with E11.43 unless gastroparesis is unrelated to diabetes.
Applicable To
- Delayed gastric emptying
Excludes
- Gastroparesis due to diabetes (E11.43)
Clinical Validation Requirements
- Gastric retention >60% at 2h or >10% at 4h on scintigraphy
Coding Notes
Ensure gastroparesis is confirmed by objective testing.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Diabetes Mellitus with Gastroparesis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E11.43.
Impact
Clinical: Inaccurate diagnosis and treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential denial of claims.
Mitigation Strategy
Ensure all diagnostic tests are documented., Train staff on documentation standards.
Impact
Reimbursement: Potential underpayment due to incomplete coding., Compliance: Risk of non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Query provider to confirm if gastroparesis is a manifestation of diabetic autonomic neuropathy.
Impact
Reimbursement: Incorrect DRG assignment affecting payment., Compliance: Violation of sequencing rules., Data Quality: Misrepresentation of primary condition.
Mitigation Strategy
Always sequence E11.43 first.
Impact
Audits may focus on whether the documentation supports the coding of diabetic gastroparesis.
Mitigation Strategy
Ensure all records explicitly link gastroparesis 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 Diabetes Mellitus with Gastroparesis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Diabetes Mellitus with Gastroparesis
Use these documentation templates to ensure complete and accurate documentation for Diabetes Mellitus with Gastroparesis. These templates include all required elements for proper coding and billing.
Diabetic gastroparesis in a Type 2 diabetic patient
Specialty: EndocrinologyRequired Elements
- Diabetes type and control status
- Symptoms of gastroparesis
- Objective test results
- Exclusion of mechanical obstruction
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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