To help you recall these health conditions first, here is a brief overview, covering everything from peripheral meaning, to polyneuropathy and type 2 diabetes. The peripheral nervous system (PNS) consists of peripheral nerves that carry signals from the body to the brain and spinal cord (sensory nerves), and the nerves that carry signals from Central Nervous System (CNS) to glands and muscles (motor nerves).
A compromised PNS system reflects Polyneuropathy.
Type 2 diabetes is a condition that restrains the body to make insulin enough to break glucose into energy, resulting in excess of sugar in blood.
Let’s get into the ICD 10 codes used to link type 2 diabetes mellitus with diabetic polyneuropathy.
E11.42, according to the American ICD 10 codes is a billable code for diagnosis of type 2 diabetes mellitus with diabetic polyneuropathy. However, medical coders, when possible and required, should use more specific code.
This report provides a curated list of commonly used codes for more specific diagnoses, treatments, and procedures related to Type 2 diabetes mellitus with diabetic polyneuropathy (E11.42).
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These codes are used to provide greater specificity regarding the nature of the neuropathy or associated complications. Following are some type 2 diabetes mellitus with diabetic polyneuropathy icd 10 codes that link type 2 diabetes and polyneuropathy:
| Code | Description |
|---|---|
| E11.42 (billable) | Type 2 diabetes mellitus with diabetic polyneuropathy. |
| E11.43 (billable) | Type 2 diabetes mellitus with diabetic autonomic (poly) neuropathy (e.g., gastroparesis — a condition in which your stomach muscles and nerves are affected). |
| E11.610 (billable) | Type 2 diabetes mellitus with diabetic neuropathic arthropathy (Charcot joints – a rare disease that causes deformation of bones and joints) |
In individuals with type 2 diabetes mellitus, the body develops insulin resistance, which makes it difficult to manage blood sugar levels and often leads to hyperglycemia (high blood sugar). This chronic state of elevated blood sugar can directly damage the nerves and the blood vessels that supply them with oxygen. When these blood vessels are compromised, the nerves are deprived of essential oxygen, leading to further nerve damage and the onset of polyneuropathy.
The most common form of this nerve damage is distal symmetric polyneuropathy, which is a length-dependent process. This means that the longest nerves in the body, typically those reaching the feet and toes, are affected first.
As the condition progresses, sensory loss follows a “glove and stocking” pattern; once the numbness or pain reaches the upper calf, the fingertips also begin to experience symptoms because the nerve lengths to these areas are roughly equivalent.Patients often experience sensory symptoms such as “pins and needles,” loss of sensation, or pain, which can eventually be followed by motor weakness.
Certain factors can increase the likelihood of a person with T2DM developing polyneuropathy. These risk factors include having a high body mass index (BMI), a longer duration of diabetes, a history of smoking, and being female.
If left untreated, diabetic polyneuropathy can lead to severe complications, including infections and ulcers.
Disclaimer: This content is for informational purposes only and does not constitute medical or billing advice. We are not liable for any losses or claim denials resulting from the use of these ICD-10 codes. Always verify with official CMS guidelines.
