ICD-10 Coding for Diabetes with Gastroparesis(E10.43, E11.43)
Complete ICD-10-CM coding and documentation guide for Diabetes 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 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 |
|---|---|---|---|
| E10.43 | Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy | Use when the patient has Type 1 diabetes with documented gastroparesis. |
|
| E11.43 | Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy | Use when the patient has Type 2 diabetes with documented gastroparesis. |
|
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 with gastroparesis
Essential facts and insights about Diabetes with Gastroparesis
Primary ICD-10-CM Codes for diabetes with gastroparesis
Decision Criteria
clinical Criteria
- Presence of Type 1 diabetes with gastroparesis symptoms.
Applicable To
- Type 1 diabetes with gastroparesis
Excludes
- Type 2 diabetes mellitus with gastroparesis (E11.43)
Clinical Validation Requirements
- Gastric emptying study showing >10% retention at 4 hours
- Documentation of diabetic autonomic neuropathy
Code-Specific Risks
- Ensure gastroparesis is documented as a complication of diabetes.
Coding Notes
- Ensure documentation includes both diabetes type and gastroparesis.
E11.43 - Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy
Use when the patient has Type 2 diabetes with documented gastroparesis.
Applicable To
- Type 2 diabetes with gastroparesis
Excludes
- Type 1 diabetes mellitus with gastroparesis (E10.43)
Clinical Validation Requirements
- HbA1c >9%
- Recurrent vomiting/nausea unresponsive to antiemetics
Coding Notes
Ensure documentation includes both diabetes type and gastroparesis.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 Diabetes with Gastroparesis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E10.43.
Impact
Clinical: May lead to misdiagnosis., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Ensure clear linkage between diabetes and gastroparesis in documentation.
Impact
Reimbursement: Incorrect coding can lead to reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Impacts accuracy of clinical data.
Mitigation Strategy
Document 'diabetic autonomic neuropathy' explicitly.
Impact
Failure to sequence diabetes code before gastroparesis code.
Mitigation Strategy
Review coding guidelines and ensure proper sequencing.
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 with Gastroparesis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Diabetes with Gastroparesis
Use these documentation templates to ensure complete and accurate documentation for Diabetes with Gastroparesis. These templates include all required elements for proper coding and billing.
Diabetes with Gastroparesis
Specialty: EndocrinologyRequired Elements
- Type of diabetes
- Gastroparesis symptoms
- Diagnostic tests
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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