In the alphabetic index, PVD (disease > vascular > peripheral) directs to I73.9 but has a subheading below for 'in diabetes mellitus' with an instruction to 'see E08-E13 with .51' instead.
type 2 diabetes did not develop ketoacidosis. Type 2 diabetes is pre - dominantly a disease of inadequate insulin availability or increased insulin resistance – i.e. the body’s own insulin is insufficient for its needs. The residual beta-cell func - tion in the pancreas of these individuals could produce insulin in sufficient amounts so as to pre -
Type 2 diabetes is caused when the insulin hormone does not properly regulate glucose in the body.
Diabetic peripheral neuropathy (DPN), a common and troublesome complication in patients with type 2 diabetes mellitus (T2DM), contributes to a higher risk of diabetic foot ulcer and lower limb amputation. These situations can negatively impact the quality of life of affected individuals.
ICD-9-CM Coding If either peripheral or autonomic neuropathy is caused by diabetes, then a code from subcategory 250.6 will be sequenced first followed by code 357.2 for polyneuropathy in diabetes or code 337.1 for peripheral autonomic neuropathy.
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.
Hereditary and idiopathic neuropathy, unspecified 9 became effective on October 1, 2021. This is the American ICD-10-CM version of G60. 9 - other international versions of ICD-10 G60.
E08. 69 Diabetes mellitus due to underlying condition...
E11. 69 - Type 2 diabetes mellitus with other specified complication. ICD-10-CM.
5A11 Type 2 diabetes mellitus - ICD-11 MMS.
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.
ICD-10-CM Code for Type 2 diabetes mellitus with other specified complication E11. 69.
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.
ICD-10 code G60. 9 for Hereditary and idiopathic neuropathy, unspecified is a medical classification as listed by WHO under the range - Diseases of the nervous system .
2.
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.
Also, 2nd Quarter 2009 Coding Clinic states that diabetes “with” neuropathy establishes a causal link between the diabetes and the neuropathy. It would be unwise to extrapolate that rule across all diabetic complications, however.
ICD-10-CM Code for Type 2 diabetes mellitus with other specified complication E11. 69.
2: Neuralgia and neuritis, unspecified.
For gestational diabetes (diabetes that occurs during pregnancy) women should be assigned a code under the 024.4 subheading and not any other codes under the 024 category.
If the type of diabetes that the patient has is not documented in the medical record, E11 codes for type 2 diabetes should be used as a default. If the medical record doesn’t say what type of diabetes the patient has but indicates that the patient uses insulin, the Type 2 diabetes codes should also be used.
The “unspecified” codes can be used when not enough information is known to give a more specific diagnosis; in that case, “unspecified” is technically more accurate than a more specific but as yet unconfirmed diagnosis. For more guidelines on using ICD-10 codes for diabetes mellitus, you can consult this document.