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ICD-10 Guide
ICD-10 CodesE10.49

E10.49

Billable

Type 1 diabetes mellitus with other diabetic neurological complication

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

Code Description

ICD-10 E10.49 is a billable code used to indicate a diagnosis of type 1 diabetes mellitus with other diabetic neurological complication.

Key Diagnostic Point:

Type 1 diabetes mellitus is characterized by the autoimmune destruction of insulin-producing beta cells in the pancreas, leading to absolute insulin deficiency. Patients with this condition often experience various complications, including diabetic neuropathy, which can manifest as peripheral neuropathy, autonomic neuropathy, or focal neuropathies. The term 'other diabetic neurological complication' encompasses a range of neurological issues that may arise due to chronic hyperglycemia and metabolic derangements associated with diabetes. These complications can significantly impact a patient's quality of life and may include symptoms such as pain, numbness, tingling, and weakness in the extremities. Management of type 1 diabetes involves careful monitoring of blood glucose levels, with an emphasis on maintaining HbA1c levels below 7% to reduce the risk of complications. Insulin therapy is the cornerstone of treatment, requiring individualized regimens that may include multiple daily injections or continuous subcutaneous insulin infusion. Regular follow-up and comprehensive care are essential to address both glycemic control and the management of neurological complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between various types of diabetic neuropathies
  • Need for precise documentation of neurological symptoms
  • Understanding the interplay between diabetes management and neurological complications
  • Potential for multiple co-existing conditions requiring careful coding

Audit Risk Factors

  • Inadequate documentation of neurological symptoms
  • Failure to link complications to diabetes diagnosis
  • Misclassification of the type of diabetic neuropathy
  • Lack of evidence for HbA1c levels in documentation

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed records of blood glucose levels, HbA1c results, and treatment plans.

Common Clinical Scenarios

Patients presenting with uncontrolled diabetes and neurological symptoms.

Billing Considerations

Endocrinologists must ensure comprehensive documentation of both diabetes management and neurological assessments.

Neurology

Documentation Requirements

Thorough neurological examinations and symptom descriptions.

Common Clinical Scenarios

Patients with diabetes presenting with neuropathic pain or other neurological deficits.

Billing Considerations

Neurologists should document the relationship between diabetes and neurological findings to support coding.

Coding Guidelines

Inclusion Criteria

Use E10.49 When
  • According to ICD
  • 10 coding guidelines, E10
  • 49 should be used when a patient with type 1 diabetes mellitus presents with other specified neurological complications
  • Coders must ensure that the documentation supports the diagnosis and that the complications are clearly linked to the diabetes diagnosis

Exclusion Criteria

Do NOT use E10.49 When
No specific exclusions found.

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 and assessment of neurological symptoms.

Documentation Requirements

Document patient's diabetes management, HbA1c levels, and neurological assessments.

Specialty Considerations

Endocrinologists and neurologists should ensure comprehensive documentation to support the visit level.

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. E10.49 provides a clear distinction for type 1 diabetes patients with neurological complications, 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. E10.49 provides a clear distinction for type 1 diabetes patients with neurological complications, enhancing clinical understanding and management.

Reimbursement & Billing Impact

reimbursement processes. E10.49 provides a clear distinction for type 1 diabetes patients with neurological complications, enhancing clinical understanding and management.

Resources

Clinical References

  • •
    American Diabetes Association
  • •
    Centers for Disease Control and Prevention - Diabetes

Coding & Billing References

  • •
    American Diabetes Association
  • •
    Centers for Disease Control and Prevention - Diabetes

Frequently Asked Questions

What are the common neurological complications associated with type 1 diabetes?

Common neurological complications include diabetic peripheral neuropathy, autonomic neuropathy, and focal neuropathies, which can lead to symptoms such as pain, numbness, and weakness.

How is E10.49 different from E10.40?

E10.49 is used for type 1 diabetes with other specified neurological complications, while E10.40 is specifically for diabetic neuropathy without further specification.