ICD-10 Coding for Type 2 Diabetes with Peripheral Neuropathy(E11.42)
Complete ICD-10-CM coding and documentation guide for Type 2 Diabetes with Peripheral Neuropathy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Type 2 Diabetes with Peripheral Neuropathy
E11.40-E11.49Primary Range
Type 2 diabetes mellitus with neurological complications
This range includes codes for type 2 diabetes with various neurological complications, including peripheral neuropathy.
Key Information: ICD-10 code for type 2 diabetes with peripheral neuropathy
Essential facts and insights about Type 2 Diabetes with Peripheral Neuropathy
Primary ICD-10-CM Code for type 2 diabetes with peripheral neuropathy
Decision Criteria
clinical Criteria
- Presence of bilateral symptoms and abnormal monofilament testing
documentation Criteria
- Explicit linkage of neuropathy to diabetes in the medical record
Applicable To
- Diabetic peripheral neuropathy
Excludes
- Type 1 diabetes mellitus with polyneuropathy (E10.42)
Clinical Validation Requirements
- Documentation of bilateral symptoms
- Abnormal monofilament testing
- Nerve conduction studies showing multiple nerve involvement
Code-Specific Risks
- Incorrectly coding as mononeuropathy
- Not linking neuropathy to diabetes
Coding Notes
- Ensure documentation explicitly links neuropathy to diabetes using terms like 'due to' or 'diabetic'.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Type 2 diabetes mellitus with diabetic mononeuropathy
E11.41Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Type 2 Diabetes with 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: Misrepresentation of patient's condition., Regulatory: Potential audit issues., Financial: Incorrect reimbursement.
Mitigation Strategy
Ensure documentation specifies 'polyneuropathy' or 'mononeuropathy'., Query provider if documentation is unclear.
Impact
Reimbursement: Incorrect coding may lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Default to E11.42 unless documentation specifies mononeuropathy.
Impact
Risk of incorrect coding due to vague documentation.
Mitigation Strategy
Ensure specific documentation linking neuropathy to diabetes.
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 Type 2 Diabetes with Peripheral Neuropathy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Type 2 Diabetes with Peripheral Neuropathy
Use these documentation templates to ensure complete and accurate documentation for Type 2 Diabetes with Peripheral Neuropathy. These templates include all required elements for proper coding and billing.
Diabetic polyneuropathy in a patient with type 2 diabetes
Specialty: EndocrinologyRequired Elements
- Diagnosis of type 2 diabetes
- Symptoms of neuropathy
- Linkage of neuropathy to diabetes
- Relevant test results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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