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v1.0.0
ICD-10 Guide
DiagnosesAutonomic Neuropathy

Autonomic Neuropathy

ICD-10 Coding for Autonomic Neuropathy(E11.43, G90.09)

PRIMARY SPECIALTYEndocrinology
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Autonomic Neuropathy?
Essential facts and insights about Autonomic Neuropathy

Key Clinical Considerations:

  • Orthostatic hypotension
  • Gastroparesis
  • Diabetic diarrhea or constipation
  • Sweating abnormalities
  • Sexual dysfunction

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history of diabetes or other underlying conditions
  • Detailed description of symptoms and their impact on daily life
  • Results of autonomic function tests (e.g., heart rate variability, sweat tests)
  • Assessment of blood pressure changes upon standing

Coding Guidelines

Usage Guidelines & Examples

  • Ensure to differentiate between types of neuropathy for accurate coding.
  • Common errors include using general codes instead of specific ones.

Code Exclusions

Important Exclusions

  • Peripheral neuropathy (G60-G64)
  • Other specific neuropathies not related to autonomic dysfunction

Related ICD-10 Codes

Primary Codes
G90.49
Other autonomic neuropathy
E11.40
Type 2 diabetes mellitus with diabetic neuropathy, unspecified
Ancillary Codes
R00.1
R42
Differential Codes
G90.09
E11.43

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Endocrinology

Specialty Applications

  • Patients with diabetes, particularly Type 1 and Type 2
  • Endocrinology clinics and diabetes management centers

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Include detailed patient history, symptom description, and test results.

Billing considerations?

Ensure correct ICD codes are used to reflect the specific type of autonomic neuropathy.