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.
ICD-10 code E11. 42 for Type 2 diabetes mellitus with diabetic polyneuropathy is a medical classification as listed by WHO under the range - Endocrine, nutritional and metabolic diseases .
ICD-10 Code for Type 1 diabetes mellitus with diabetic neuropathy, unspecified- E10. 40- Codify by AAPC.
Type 2 diabetes mellitus with diabetic neuropathy, unspecified. E11. 40 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
All of the types of diabetic neuropathy above—peripheral, autonomic, and proximal—are examples of polyneuropathy. Poly means that they affect many nerves. Focal neuropathy, by contrast, affects one specific nerve; it's focused neuropathy. It can also be called mononeuropathy.
ICD-10 Code Z79. 4, Long-term (current) use of insulin should be assigned to indicate that the patient uses insulin for Type 2 diabetes mellitus (Category E11* codes). Z79.
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.
So yes, use the appropriate combination codes, being E11. 22, I12. 9 and N18. 3.
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.
Overview. Peripheral neuropathy, a result of damage to the nerves located outside of the brain and spinal cord (peripheral nerves), often causes weakness, numbness and pain, usually in the hands and feet. It can also affect other areas and body functions including digestion, urination and circulation.
There are more than 100 types of peripheral neuropathy, each with its own set of symptoms and prognosis. Peripheral neuropathy has many different causes. One of the most common causes of peripheral neuropathy in the U.S. is diabetes.
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.
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.
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.
G90.09 is a billable ICD code used to specify a diagnosis of other idiopathic peripheral autonomic neuropathy. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
Peripheral neuropathy (PN) is damage to or disease affecting nerves, which may impair sensation, movement, gland or organ function, or other aspects of health, depending on the type of nerve affected. Common causes include systemic diseases (such as diabetes or leprosy), vitamin deficiency, medication (e.g., chemotherapy), traumatic injury, radiation therapy, excessive alcohol consumption, immune system disease, Coeliac disease, or viral infection. It can also be genetic (present from birth) or idiopathic (no known cause). In conventional medical usage, the word neuropathy (neuro-, "nervous system" and -pathy, "disease of") without modifier usually means peripheral neuropathy.