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ICD-10 Guide
ICD-10 CodesE10.29

E10.29

Billable

Type 1 diabetes mellitus with other diabetic kidney complication

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

Code Description

ICD-10 E10.29 is a billable code used to indicate a diagnosis of type 1 diabetes mellitus with other diabetic kidney 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 kidney disease, which can manifest as diabetic nephropathy. This specific code, E10.29, is used when a patient with type 1 diabetes presents with other diabetic kidney complications that do not fall under the more common classifications of diabetic nephropathy. These complications may include conditions such as diabetic glomerulosclerosis or other forms of renal impairment related to diabetes. Management of type 1 diabetes and its complications typically involves regular monitoring of blood glucose levels, maintaining HbA1c levels below 7% to reduce the risk of complications, and insulin therapy. Insulin management may vary based on the patient's lifestyle, dietary habits, and the presence of other comorbidities. It is crucial for healthcare providers to document the specific nature of the kidney complications to ensure accurate coding and appropriate management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between various diabetic kidney complications
  • Need for detailed documentation of kidney function tests
  • Understanding the relationship between diabetes management and kidney health
  • Potential overlap with other diabetic codes

Audit Risk Factors

  • Inadequate documentation of kidney function tests
  • Failure to specify the type of kidney complication
  • Inconsistent HbA1c reporting
  • Misclassification of diabetes type

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed records of blood glucose levels, HbA1c results, and insulin regimen.

Common Clinical Scenarios

Patients presenting with uncontrolled diabetes and renal impairment.

Billing Considerations

Ensure that all diabetes-related complications are documented, including specific kidney issues.

Nephrology

Documentation Requirements

Comprehensive renal function tests and assessments of diabetic kidney disease.

Common Clinical Scenarios

Patients with chronic kidney disease secondary to diabetes.

Billing Considerations

Document the stage of kidney disease and any interventions or treatments provided.

Coding Guidelines

Inclusion Criteria

Use E10.29 When
  • According to ICD
  • 10 guidelines, E10
  • 29 should be used when the documentation specifies other diabetic kidney complications not classified under diabetic nephropathy
  • Coders must ensure that the documentation supports the diagnosis and that the condition is directly related to the patient's type 1 diabetes

Exclusion Criteria

Do NOT use E10.29 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

83036CPT Code

Hemoglobin A1c test

Clinical Scenario

Used to monitor diabetes control in patients with E10.29.

Documentation Requirements

Document the date of the test and results.

Specialty Considerations

Endocrinologists should ensure regular HbA1c testing is performed.

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 patient records and facilitating better management of chronic conditions like diabetic kidney disease.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of diabetes-related complications, improving the accuracy of patient records and facilitating better management of chronic conditions like diabetic kidney disease.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of diabetes-related complications, improving the accuracy of patient records and facilitating better management of chronic conditions like diabetic kidney disease.

Resources

Clinical References

  • •
    American Diabetes Association

Coding & Billing References

  • •
    American Diabetes Association

Frequently Asked Questions

What are the common complications associated with type 1 diabetes?

Common complications include diabetic nephropathy, retinopathy, neuropathy, and cardiovascular diseases. Each complication requires specific management and coding.