ICD-10 Coding for Neuropathy in Feet(E11.42, G57.81)
Complete ICD-10-CM coding and documentation guide for Neuropathy in Feet. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Neuropathy in 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 neuropathy is linked to Type 2 diabetes and affects the feet. |
|
| G57.81 | Other specified mononeuropathies of right lower limb | Use for mononeuropathy affecting the right foot. |
|
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 neuropathy in feet
Essential facts and insights about Neuropathy in Feet
Primary ICD-10-CM Codes for neuropathy in feet
Decision Criteria
clinical Criteria
- Presence of diabetic indicators like high HbA1c
documentation Criteria
- Explicit mention of neuropathy due to diabetes
Applicable To
- Diabetic neuropathy affecting feet
Excludes
- Non-diabetic neuropathy
Clinical Validation Requirements
- HbA1c ≥6.5%
- Bilateral foot numbness or pain
Code-Specific Risks
- Incorrect use if laterality is not specified
Coding Notes
- Ensure documentation specifies the link between diabetes and neuropathy.
G57.81 - Other specified mononeuropathies of right lower limb
Use for mononeuropathy affecting the right foot.
Applicable To
- Tarsal tunnel syndrome of right foot
Excludes
- Diabetic neuropathy
Clinical Validation Requirements
- EMG/NCS confirmation
- Localized pain or numbness
Coding Notes
Ensure laterality is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Long-term (current) use of insulin
Z79.4Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Neuropathy in 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: Leads to incorrect treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.
Mitigation Strategy
Review documentation for specificity., Use combination codes when applicable.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Could result in coding audits., Data Quality: Affects accuracy of clinical data.
Mitigation Strategy
Use specific codes like G57.81 or G57.82 when laterality is known.
Impact
Using unspecified codes when specific codes are applicable.
Mitigation Strategy
Ensure documentation specifies laterality and type.
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 Neuropathy in Feet, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Neuropathy in Feet
Use these documentation templates to ensure complete and accurate documentation for Neuropathy in Feet. These templates include all required elements for proper coding and billing.
Diabetic neuropathy affecting both feet
Specialty: PodiatryRequired Elements
- History of present illness
- Physical exam findings
- Link to diabetes
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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