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ICD-10 Guide
ICD-10 CodesE10.41

E10.41

Billable

Type 1 diabetes mellitus with diabetic mononeuropathy

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 E10.41 is a billable code used to indicate a diagnosis of type 1 diabetes mellitus with diabetic mononeuropathy.

Key Diagnostic Point:

E10.41 refers to Type 1 diabetes mellitus accompanied by diabetic mononeuropathy, a complication characterized by damage to a single nerve or a group of nerves due to prolonged hyperglycemia. This condition is prevalent among individuals with Type 1 diabetes, where the autoimmune destruction of insulin-producing beta cells leads to insulin deficiency. Diabetic mononeuropathy can manifest in various forms, including cranial nerve palsies, focal neuropathies, and peripheral nerve damage. Patients may experience symptoms such as pain, weakness, or sensory loss in the affected areas. The management of Type 1 diabetes involves strict glycemic control, often monitored through HbA1c levels, which should ideally be maintained below 7% to minimize complications. Insulin therapy is the cornerstone of treatment, with patients requiring basal and bolus insulin regimens tailored to their lifestyle and dietary habits. Regular monitoring and adjustments are crucial to prevent acute complications like diabetic ketoacidosis and chronic complications such as neuropathy, retinopathy, and nephropathy. Effective management of blood glucose levels is essential to reduce the risk of developing diabetic mononeuropathy and other complications associated with Type 1 diabetes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of diabetes types and their complications
  • Need for accurate documentation of neuropathy type and symptoms
  • Differentiation from other diabetic neuropathies
  • Management of insulin therapy and monitoring of HbA1c levels

Audit Risk Factors

  • Inadequate documentation of neuropathy symptoms
  • Failure to document HbA1c levels
  • Misclassification of neuropathy type
  • Lack of evidence for insulin management plans

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed records of diabetes management, including insulin regimens and HbA1c levels.

Common Clinical Scenarios

Patients presenting with uncontrolled diabetes and neuropathic symptoms.

Billing Considerations

Ensure comprehensive documentation of all diabetes-related complications.

Neurology

Documentation Requirements

Thorough neurological assessments and documentation of mononeuropathy symptoms.

Common Clinical Scenarios

Patients with focal neuropathies presenting with pain or weakness.

Billing Considerations

Document the specific nerve affected and the clinical implications.

Coding Guidelines

Inclusion Criteria

Use E10.41 When
  • According to ICD
  • 10 guidelines, E10
  • 41 should be used when a patient with Type 1 diabetes presents with diabetic mononeuropathy
  • Documentation must clearly indicate the diagnosis of Type 1 diabetes and the specific type of neuropathy

Exclusion Criteria

Do NOT use E10.41 When
  • Exclusion criteria include other types of neuropathy not related to diabetes

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits for diabetes management.

Documentation Requirements

Document patient's diabetes management plan and any complications.

Specialty Considerations

Endocrinologists should ensure comprehensive diabetes management documentation.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of diabetes-related complications, improving the accuracy of data collection and reimbursement processes. E10.41 provides a clear distinction for Type 1 diabetes with mononeuropathy, enhancing clinical understanding and management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of diabetes-related complications, improving the accuracy of data collection and reimbursement processes. E10.41 provides a clear distinction for Type 1 diabetes with mononeuropathy, enhancing clinical understanding and management.

Reimbursement & Billing Impact

reimbursement processes. E10.41 provides a clear distinction for Type 1 diabetes with mononeuropathy, enhancing clinical understanding and management.

Resources

Clinical References

  • •
    American Diabetes Association

Coding & Billing References

  • •
    American Diabetes Association

Frequently Asked Questions

What is the significance of HbA1c levels in managing E10.41?

HbA1c levels are crucial in managing E10.41 as they reflect long-term glycemic control. Maintaining HbA1c below 7% is essential to reduce the risk of complications, including diabetic mononeuropathy.