ICD-10 Coding for Diabetic Peripheral Neuropathy(E11.42, G62.9)
Complete ICD-10-CM coding and documentation guide for Diabetic Peripheral Neuropathy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Diabetic Peripheral Neuropathy
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 and linked to type 2 diabetes. |
|
| G62.9 | Polyneuropathy, unspecified | Use when neuropathy is present but not linked 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 diabetic peripheral neuropathy
Essential facts and insights about Diabetic Peripheral Neuropathy
Primary ICD-10-CM Codes for diabetic peripheral neuropathy
Decision Criteria
clinical Criteria
- Presence of diabetic neuropathy symptoms and confirmed diabetes
documentation Criteria
- Explicit documentation linking neuropathy to diabetes
Applicable To
- Diabetic peripheral neuropathy
Excludes
- Diabetic autonomic neuropathy (E11.43)
Clinical Validation Requirements
- HbA1c >7%
- Monofilament test showing loss of sensation
- Nerve conduction studies indicating axonal degeneration
Code-Specific Risks
- Incorrectly coding without confirming diabetes linkage
Coding Notes
- Ensure documentation explicitly links neuropathy to diabetes.
G62.9 - Polyneuropathy, unspecified
Use when neuropathy is present but not linked to diabetes.
Excludes
- Diabetic polyneuropathy (E11.42)
Clinical Validation Requirements
- Nerve conduction studies
- Exclusion of diabetic etiology
Coding Notes
Ensure neuropathy is not linked to diabetes before using.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Type 2 diabetes mellitus with diabetic autonomic neuropathy
E11.43Differential 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 Diabetic Peripheral Neuropathy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E11.42.
Impact
Clinical: Inaccurate patient records, Regulatory: Non-compliance with coding standards, Financial: Potential for incorrect billing
Mitigation Strategy
Train staff on documentation standards, Use templates that prompt for linkage documentation
Impact
Reimbursement: May lead to incorrect reimbursement rates., Compliance: Risk of non-compliance with coding guidelines., Data Quality: Affects accuracy of patient records.
Mitigation Strategy
Ensure documentation explicitly states neuropathy is due to diabetes.
Impact
Failure to document linkage can lead to audit findings.
Mitigation Strategy
Use standardized templates and regular training.
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 Peripheral Neuropathy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Diabetic Peripheral Neuropathy
Use these documentation templates to ensure complete and accurate documentation for Diabetic Peripheral Neuropathy. These templates include all required elements for proper coding and billing.
Diabetic neuropathy management
Specialty: EndocrinologyRequired Elements
- Chief Complaint
- History of Present Illness
- Physical Exam
- Assessment
- Plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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