ICD-10 Coding for Small Fiber Neuropathy(G60.8, G60.9, E11.42)
Complete ICD-10-CM coding and documentation guide for Small Fiber Neuropathy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Small Fiber 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 |
|---|---|---|---|
| G60.8 | Other hereditary and idiopathic neuropathies | Use when small fiber neuropathy is specified and idiopathic or hereditary. |
|
| G60.9 | Hereditary and idiopathic neuropathy, unspecified | Use when small fiber neuropathy is idiopathic and unspecified. |
|
| E11.42 | Type 2 diabetes mellitus with diabetic polyneuropathy | Use when small fiber neuropathy is 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 small fiber neuropathy
Essential facts and insights about Small Fiber Neuropathy
Primary ICD-10-CM Codes for small fiber neuropathy
Decision Criteria
clinical Criteria
- Confirmed reduced IENFD on biopsy
coding Criteria
- No large fiber involvement
Applicable To
- Specified types of small fiber neuropathy
Excludes
- Diabetic neuropathy (E08-E13)
Clinical Validation Requirements
- Skin biopsy showing reduced intraepidermal nerve fiber density
- Normal nerve conduction studies
Code-Specific Risks
- Misclassification if etiology is not specified
Coding Notes
- Ensure documentation specifies idiopathic or hereditary nature.
G60.9 - Hereditary and idiopathic neuropathy, unspecified
Use when small fiber neuropathy is idiopathic and unspecified.
Applicable To
- Idiopathic small fiber neuropathy
Excludes
- Diabetic neuropathy (E08-E13)
Clinical Validation Requirements
- Skin biopsy showing reduced intraepidermal nerve fiber density
- Normal nerve conduction studies
Coding Notes
Ensure documentation supports idiopathic nature.
E11.42 - Type 2 diabetes mellitus with diabetic polyneuropathy
Use when small fiber neuropathy is linked to diabetes.
Applicable To
- Diabetic small fiber neuropathy
Excludes
- Non-diabetic neuropathies (G60-G64)
Clinical Validation Requirements
- Diagnosis of diabetes with documented neuropathy
Coding Notes
Ensure diabetes is documented as the cause of neuropathy.
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 Small Fiber Neuropathy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G60.8.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to insufficient documentation.
Mitigation Strategy
Ensure biopsy results are included in patient records, Train staff on documentation requirements
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate data on neuropathy prevalence.
Mitigation Strategy
Use G60.9 for idiopathic small fiber neuropathy.
Impact
Reimbursement: Potential underpayment due to less specific coding., Compliance: Failure to meet specificity requirements., Data Quality: Misrepresentation of diabetic complications.
Mitigation Strategy
Specify 'polyneuropathy' in documentation to use E11.42.
Impact
Inadequate documentation of neuropathy type may lead to audit findings.
Mitigation Strategy
Ensure all documentation includes specific neuropathy type and supporting test results.
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 Small Fiber Neuropathy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Small Fiber Neuropathy
Use these documentation templates to ensure complete and accurate documentation for Small Fiber Neuropathy. These templates include all required elements for proper coding and billing.
Idiopathic Small Fiber Neuropathy
Specialty: NeurologyRequired Elements
- Diagnosis of idiopathic small fiber neuropathy
- Skin biopsy results
- Normal nerve conduction studies
- Symptom description
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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