ICD-10 Coding for Sensory Neuropathy(G60.1, E11.42, G62.9)
Complete ICD-10-CM coding and documentation guide for Sensory Neuropathy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Sensory Neuropathy
G60-G64Primary Range
Polyneuropathies and other disorders of the peripheral nervous system
This range includes codes for various types of neuropathies, including sensory neuropathies.
Diabetes mellitus
This range is relevant for diabetic neuropathy, which can include sensory neuropathy as a complication.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| G60.1 | Hereditary sensory neuropathy | Use when there is confirmed hereditary sensory neuropathy with genetic or family history evidence. |
|
| E11.42 | Type 2 diabetes mellitus with diabetic polyneuropathy | Use when diabetic neuropathy is confirmed with sensory symptoms. |
|
| G62.9 | Polyneuropathy, unspecified | Use when no specific cause for neuropathy is identified. |
|
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 sensory neuropathy
Essential facts and insights about Sensory Neuropathy
Primary ICD-10-CM Codes for sensory neuropathy
Decision Criteria
clinical Criteria
- Genetic confirmation or family history of sensory neuropathy
documentation Criteria
- Detailed sensory examination findings
Clinical Validation Requirements
- Genetic confirmation or family history
- Sensory deficits such as loss of pain/temperature sensation
Code-Specific Risks
- Misclassification with diabetic neuropathy
- Lack of genetic confirmation
Coding Notes
- Ensure genetic testing or family history is documented.
E11.42 - Type 2 diabetes mellitus with diabetic polyneuropathy
Use when diabetic neuropathy is confirmed with sensory symptoms.
Applicable To
- Diabetic neuropathy
Excludes
- Hereditary neuropathy (G60.1)
Clinical Validation Requirements
- Diagnosis of diabetes
- Symmetric sensory symptoms
- Monofilament test results
Coding Notes
Ensure diabetes is documented as the cause of neuropathy.
G62.9 - Polyneuropathy, unspecified
Use when no specific cause for neuropathy is identified.
Excludes
- Diabetic neuropathy (E08.42-E13.42)
- Hereditary neuropathy (G60.1)
Clinical Validation Requirements
- No identifiable cause after workup
- Negative genetic testing
Coding Notes
Use only when specific causes are ruled out.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Sensory Neuropathy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G60.1.
Impact
Clinical: Inaccurate diagnosis and treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to insufficient documentation.
Mitigation Strategy
Ensure comprehensive sensory exams are conducted, Document all relevant test results
Impact
Reimbursement: Incorrect reimbursement if diabetes is not sequenced first., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on diabetes complications.
Mitigation Strategy
Ensure diabetes is documented as the cause and sequence correctly.
Impact
Reimbursement: Potential denial of claims due to lack of specificity., Compliance: Failure to meet specificity requirements., Data Quality: Loss of detailed clinical data.
Mitigation Strategy
Conduct thorough workup to identify specific neuropathy type.
Impact
Incorrect sequencing of diabetes and neuropathy codes.
Mitigation Strategy
Educate coders on proper sequencing rules.
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 Sensory Neuropathy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Sensory Neuropathy
Use these documentation templates to ensure complete and accurate documentation for Sensory Neuropathy. These templates include all required elements for proper coding and billing.
Diabetic Sensory Neuropathy
Specialty: EndocrinologyRequired Elements
- Diabetes diagnosis
- Sensory examination findings
- Monofilament test results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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