ICD-10 Coding for Peripheral Polyneuropathy(E11.42, G62.9)
Complete ICD-10-CM coding and documentation guide for Peripheral Polyneuropathy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Peripheral Polyneuropathy
E11.40-E11.49Primary Range
Type 2 diabetes mellitus with neurological complications
This range includes codes for diabetes with various neurological complications, including polyneuropathy.
Polyneuropathy, unspecified
Used when polyneuropathy is present without a specified cause or linkage to diabetes.
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 polyneuropathy is documented as a complication of type 2 diabetes. |
|
| G62.9 | Polyneuropathy, unspecified | Use when polyneuropathy is present without a specified cause or linkage 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 polyneuropathy
Essential facts and insights about Peripheral Polyneuropathy
Primary ICD-10-CM Codes for peripheral polyneuropathy
Decision Criteria
clinical Criteria
- Presence of bilateral symptoms and abnormal nerve conduction studies.
documentation Criteria
- Explicit linkage between diabetes and polyneuropathy.
Applicable To
- Diabetic polyneuropathy
Excludes
- Polyneuropathy due to other specified diseases (G63.-)
Clinical Validation Requirements
- Bilateral numbness/tingling
- Abnormal monofilament testing
- Nerve conduction velocity <40 m/s in ≥2 nerves
Code-Specific Risks
- Incorrectly using E11.40 when polyneuropathy is specified.
Coding Notes
- Ensure documentation explicitly links polyneuropathy to diabetes for accurate coding.
G62.9 - Polyneuropathy, unspecified
Use when polyneuropathy is present without a specified cause or linkage to diabetes.
Applicable To
- Peripheral neuropathy NOS
Excludes
- Diabetic polyneuropathy (E11.42)
Clinical Validation Requirements
- Generalized numbness/tingling without specific cause
Coding Notes
Ensure no linkage to diabetes is documented when using this code.
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 Peripheral Polyneuropathy 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 inadequate treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Specify type of neuropathy in documentation., Clarify causal relationship with diabetes.
Impact
Reimbursement: Incorrect coding may lead to reduced reimbursement., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use E11.42 for polyneuropathy linked to diabetes.
Impact
Risk of audits when diabetes and neuropathy are documented without linkage.
Mitigation Strategy
Ensure documentation explicitly links conditions.
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 Polyneuropathy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Peripheral Polyneuropathy
Use these documentation templates to ensure complete and accurate documentation for Peripheral Polyneuropathy. These templates include all required elements for proper coding and billing.
Diabetes with peripheral polyneuropathy
Specialty: EndocrinologyRequired Elements
- Patient history
- Symptom description
- Nerve conduction study results
- Diabetes management plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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