To help you manage peripheral neuropathy:
The ICD-10-CM is a catalog of diagnosis codes used by medical professionals for medical coding and reporting in health care settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates.
There are two situations in which peripheral neuropathy is the most serious. The first is if you are unable to feel in your hands and feet. This means that you can unknowingly sustain cuts, burns, and other damage, which, if infected, can be dangerous.
Type 1 diabetes mellitus with diabetic polyneuropathy E10. 42 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM E10. 42 became effective on October 1, 2021.
Peripheral neuropathy is nerve damage caused by chronically high blood sugar and diabetes. It leads to numbness, loss of sensation, and sometimes pain in your feet, legs, or hands. It is the most common complication of diabetes.
If you look in the alphabetical index under diabetes/diabetic with neuropathy it is E11. 40 (type 2 DM with diabetic neuropathy, unspecified). You cannot go with E11. 42 because that is specifically with polyneuropathy which is not documented.
Diabetic neuropathy is a serious and common complication of type 1 and type 2 diabetes. It's a type of nerve damage caused by long-term high blood sugar levels. The condition usually develops slowly, sometimes over the course of several decades.
Diabetic neuropathy is a complication of diabetes that results in damage to the nervous system. It is a progressive disease, and symptoms get worse over time. Neuropathy happens when high levels of fats or sugar in the blood damage the nerves in the body.
Peripheral neuropathy that is not further specified as being caused by an underlying condition is assigned to code 356.9.
E08, Diabetes mellitus due to underlying condition. E09, Drug or chemical induced diabetes mellitus. E10, Type 1 diabetes mellitus. E11, Type 2 diabetes mellitus.
21 and E11. 22 have an excludes 1 notes therefore they can be coded together as long as a separate renal manifestation is present, I would just be careful when coding the actual renal condition as there are some renal codes that are excluded when using CKD codes.
Peripheral neuropathy with diabetes should be coded as E11.42 (DM with polyneuropath), not e11.40 (DM with neuropathy).
Most of the neuropathy ICD 10 codes are located in Chapter-6 of ICD-10-CM manual which is “diseases of the nervous system”, code range G00-G 99
Polyneuropathy – Two or more nerves in different areas get affected. Autonomic neuropathy – Affects the nerves which control blood pressure, sweating, digestion, heart rate, bowel and bladder emptying.
Autonomic neuropathy symptoms can be heart intolerance, excess sweat or no sweat, blood pressure changes, bladder, bowel or digestive problems. Physician does a thorough physical examination including extremity neurological exam and noting vitals.
Neuropathic pain should be coded as neuralgia M79.2, not neuropathy.
Detailed history of the patient like symptoms, lifestyle and exposure to toxins may also help to diagnose neuropathy. Blood tests, CT, MRI, electromyography, nerve biopsy and skin biopsy are the tests used to confirm neuropathy.
Symptoms can vary in both peripheral and autonomic neuropathy because the nerves affected are different. Peripheral neuropathy symptoms can be tingling, sharp throbbing pain, lack of coordination, paralysis if motor nerves are affected. Autonomic neuropathy symptoms can be heart intolerance, excess sweat or no sweat, blood pressure changes, bladder, bowel or digestive problems.
E11.4 Type 2 diabetes mellitus with neurological complications. E11.42 Type 2 diabetes mellitus with diabetic polyneuropathy. Polyneuropathy means multiple nerve damage is causing peripheral neuropathy. These are the nerves that connect your spinal cord to the rest of your body.
Notice that (peripheral) is a modifier for polyneuropathy
Yes. According to the ICD-10-CM Code Book, Type 2 Diabetes Mellitus with Peripheral Neuropathy codes to Type 2 Diabetes Mellitus with Polyneuropathy (E11.42). Let’s follow the alphabetic index:
Diseases of multiple peripheral nerves simultaneously. Polyneuropathies usually are characterized by symmetrical, bilateral distal motor and sensory impairment with a graded increase in severity distally. The pathological processes affecting peripheral nerves include degeneration of the axon, myelin or both. The various forms of polyneuropathy are categorized by the type of nerve affected (e.g., sensory, motor, or autonomic), by the distribution of nerve injury (e.g., distal vs. Proximal), by nerve component primarily affected (e.g., demyelinating vs. Axonal), by etiology, or by pattern of inheritance.
Clinical Information. A disorder affecting the cranial nerves or the peripheral nervous system. It is manifested with pain, tingling, numbness, and muscle weakness. It may be the result of physical injury, toxic substances, viral diseases, diabetes, renal failure, cancer, and drugs.
The 2022 edition of ICD-10-CM G62.9 became effective on October 1, 2021.