ICD-10 Coding for Peripheral Neuropathy(E11.42, G62.9)
Complete ICD-10-CM coding and documentation guide for Peripheral Neuropathy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to 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 neuropathy is directly linked to Type 2 diabetes with documented bilateral symptoms. |
|
| G62.9 | Unspecified polyneuropathy | Use only if the etiology of neuropathy is unclear after exhaustive workup. |
|
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 Peripheral Neuropathy
Primary ICD-10-CM Codes for neuropathy peripheral
Decision Criteria
clinical Criteria
- Presence of diabetes with bilateral neuropathic symptoms.
documentation Criteria
- Explicit linkage of neuropathy to diabetes.
Applicable To
- Diabetic polyneuropathy
Excludes
- Diabetic autonomic neuropathy (E11.43)
Clinical Validation Requirements
- HbA1c ≥6.5%
- Nerve conduction study showing sensorimotor polyneuropathy
Code-Specific Risks
- Incorrectly coding as G62.9 when diabetes is present.
Coding Notes
- Ensure documentation specifies 'diabetic polyneuropathy' with bilateral symptoms.
G62.9 - Unspecified polyneuropathy
Use only if the etiology of neuropathy is unclear after exhaustive workup.
Excludes
- Diabetic polyneuropathy (E11.42)
Clinical Validation Requirements
- Exhaustive workup with unclear etiology
Coding Notes
Avoid using when a specific cause of neuropathy is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Unspecified mononeuropathy of right lower limb
G57.91Differential 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 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: May lead to inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Use specific terms like 'diabetic polyneuropathy'., Document detailed symptomatology.
Impact
Reimbursement: May lead to incorrect DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on diabetes complications.
Mitigation Strategy
Use E11.42 when neuropathy is linked to diabetes.
Impact
Use of unspecified codes when specific etiology is documented.
Mitigation Strategy
Ensure documentation specifies neuropathy type and cause.
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 Peripheral Neuropathy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Peripheral Neuropathy
Use these documentation templates to ensure complete and accurate documentation for Peripheral Neuropathy. These templates include all required elements for proper coding and billing.
Diabetic Polyneuropathy
Specialty: EndocrinologyRequired Elements
- Diabetes type
- Neuropathy symptoms
- Monofilament test results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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