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. The 2019 edition of ICD-10-CM E11.40 became effective on October 1, 2018.
Idiopathic progressive neuropathy
Type 2 diabetes mellitus with diabetic neuropathy, unspecified
Diabetes Mellitus and the Use of Insulin and Oral Hypoglycemic Drugs If the documentation in a medical record does not indicate the type of diabetes but does indicate that the patient uses insulin: Assign code E11-, Type 2 diabetes mellitus. Assign code Z79.4, Long term (current) use of insulin, or Z79.84, Long-term (current) use of oral
To help you manage peripheral neuropathy:
ICD-10 Code for Type 2 diabetes mellitus with diabetic neuropathy, unspecified- E11. 40- Codify by AAPC.
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 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.
ICD-10 code: E11. 40 Type 2 diabetes mellitus With neurological complications Controlled.
Coding Diabetes Mellitus in ICD-10-CM: Improved Coding for Diabetes Mellitus Complements Present Medical ScienceE08, Diabetes mellitus due to underlying condition.E09, Drug or chemical induced diabetes mellitus.E10, Type 1 diabetes mellitus.E11, Type 2 diabetes mellitus.E13, Other specified 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.Proximal Neuropathy.Autonomic Neuropathy.Focal Neuropathy.
Peripheral neuropathy It's the most common type of diabetic neuropathy. It affects the feet and legs first, followed by the hands and arms. Signs and symptoms of peripheral neuropathy are often worse at night, and may include: Numbness or reduced ability to feel pain or temperature changes.
Diabetic neuropathy is nerve damage that can occur in people with diabetes. Different types of nerve damage cause different symptoms. Symptoms can range from pain and numbness in your feet to problems with the functions of your internal organs, such as your heart and bladder.
ICD-10-CM Code for Type 2 diabetes mellitus with other specified complication E11. 69.
ICD-10 Code for Type 2 diabetes mellitus with neurological complications- E11. 4- Codify by AAPC.
ICD-10-CM Code for Type 2 diabetes mellitus with unspecified complications E11. 8.
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.
Diana is a 52 year old woman coming to emergency department with throbbing pain on her legs and arms from past few weeks. Diana takes over the counter medicine for pain. But that is not giving a proper relief to her. She has a history of DM, HTN and hypercholesterolemia.
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.
If yes, neuropathy and diabetes needs to be combined and coded regardless of it is polyneuropathy, autonomic neuropathy, mononeuropathy or unspecified neuropathy. Peripheral neuropathy with diabetes should be coded as E11.42 (DM with polyneuropath), not e11.40 (DM with neuropathy).
There is hereditary neuropathy also which get transferred from parent to child. Neuropathy can occur in any nerve of the body, but peripheral neuropathy is the common type seen in most of the people. As the name says peripheral neuropathy affects peripheral nerves usually extremities (hands and feet).
Codes for gestational diabetes are in subcategory O24.4. These codes include treatment modality — diet alone, oral hypoglycemic drugs, insulin — so you do not need to use an additional code to specify medication management. Do not assign any other codes from category O24 with the O24.4 subcategory codes.
The pancreas responds by making more insulin to try and manage the hyperglycemia , but eventually, the pancreas can’t keep up and blood sugar levels rise. Left uncontrolled, the disease progresses into prediabetes and, eventually, type 2 diabetes.
Secondary diabetes — DM that results as a consequence of another medical condition — is addressed in Chapter 4 guidelines. These codes, found under categories E08, E09, and E13, should be listed first, followed by the long-term therapy codes for insulin or oral hypoglycemic agents.
The guidelines state that if the type of diabetes is not documented, the default is type 2. The guidelines also instruct to use additional codes to identify long-term control with insulin (Z79.4) or oral hypoglycemic drugs (Z79.84). You would not assign these codes for short-term use of insulin or oral medications to bring down a patient’s blood ...
If a pregnant woman has pre-existing diabetes that complicates the pregnancy, Chapter 15 guidelines instruct us to assign a code from O24 first, followed by the appropriate diabetes code (s) from Chapter 4 (E08–E13). Report codes Z79.4 or Z79.84 if applicable.
This is called insulin resistance, which causes high blood sugar levels (hyperglycemia).
This elevation in blood sugar signals the pancreas to release insulin, a hormone that acts like a key to enable the glucose to enter the body’s cells so it can be used as an energy source. Lack of insulin or inability of glucose to enter the cells causes sugar to build up in the blood, which, over time, can lead to complications. ...