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ICD-10 Coding for Diabetic Gastroparesis(E10.43, E11.43, K31.84)

Complete ICD-10-CM coding and documentation guide for Diabetic Gastroparesis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Diabetes-related GastroparesisGastroparesis in Diabetes

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Related ICD-10 Code Ranges

Complete code families applicable to Diabetic Gastroparesis

E10-E14Primary Range

Diabetes mellitus

Covers diabetes mellitus with complications, including gastroparesis.

K31.84

Gastroparesis

Used to specify gastroparesis, often secondary to diabetes.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
E10.43Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathyUse when gastroparesis is due to Type 1 diabetes with autonomic neuropathy.
  • Documented diagnosis of Type 1 diabetes
  • Evidence of autonomic neuropathy
  • Linkage to gastroparesis
E11.43Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathyUse when gastroparesis is due to Type 2 diabetes with autonomic neuropathy.
  • Documented diagnosis of Type 2 diabetes
  • Evidence of autonomic neuropathy
  • Linkage to gastroparesis
K31.84GastroparesisUse to specify gastroparesis, particularly when linked to diabetes.
  • Gastric emptying study showing delayed emptying
  • Exclusion of mechanical obstruction

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 gastroparesis

Essential facts and insights about Diabetic Gastroparesis

The ICD-10 code for diabetic gastroparesis includes E11.43 for Type 2 diabetes with autonomic neuropathy and K31.84 for gastroparesis.

Primary ICD-10-CM Codes for diabetic gastroparesis

E10.43
Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy
Billable Code

Decision Criteria

clinical Criteria

  • Presence of Type 1 diabetes with autonomic neuropathy

Applicable To

  • Type 1 diabetes with autonomic neuropathy

Excludes

  • Type 2 diabetes mellitus with autonomic neuropathy (E11.43)

Clinical Validation Requirements

  • Documented diagnosis of Type 1 diabetes
  • Evidence of autonomic neuropathy
  • Linkage to gastroparesis

Code-Specific Risks

  • Incorrectly coding without specifying neuropathy

Coding Notes

  • Ensure documentation links diabetes type and gastroparesis.
View Full Code Details

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Gastroparesis

K31.84
Used to specify gastroparesis in diabetic patients.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy

E11.43
Use for Type 2 diabetes with autonomic neuropathy causing gastroparesis.

Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy

E10.43
Use for Type 1 diabetes with autonomic neuropathy causing gastroparesis.

Functional dyspepsia

K30
Use when symptoms are not due to delayed gastric emptying.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Diabetic 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: Misrepresentation of patient condition., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.

Mitigation Strategy

Always specify Type 1 or Type 2 diabetes., Ensure linkage to gastroparesis is documented.

Impact

Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate representation of patient condition.

Mitigation Strategy

Always pair with E10.43 or E11.43 to reflect diabetic etiology.

Impact

Using K31.84 as primary when diabetes management is the focus.

Mitigation Strategy

Review primary reason for encounter and sequence codes accordingly.

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 Diabetic Gastroparesis, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Diabetic Gastroparesis

Use these documentation templates to ensure complete and accurate documentation for Diabetic Gastroparesis. These templates include all required elements for proper coding and billing.

Diabetic Gastroparesis Management

Specialty: Gastroenterology

Required Elements

  • Diabetes type and control status
  • Symptoms and severity
  • Diagnostic test results
  • Treatment plan

Example Documentation

Patient with Type 2 diabetes presents with gastroparesis. Gastric emptying study confirms delayed emptying. HbA1c is 9.2%. Initiating metoclopramide and dietary modifications.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has diabetes and gastroparesis.
Good Documentation Example
Type 2 diabetes with autonomic neuropathy causing gastroparesis. Gastric scintigraphy shows 42% retention at 4 hours.
Explanation
The good example specifies the diabetes type, confirms the linkage, and includes diagnostic evidence.

Need help with ICD-10 coding for Diabetic Gastroparesis? Ask your questions below.

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