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ICD-10 Guide
ICD-10 CodesE10.43

E10.43

Billable

Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy

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

Code Description

ICD-10 E10.43 is a billable code used to indicate a diagnosis of type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy.

Key Diagnostic Point:

E10.43 refers to Type 1 diabetes mellitus characterized by the presence of diabetic autonomic neuropathy, a complication that affects the autonomic nervous system. This condition can lead to a variety of symptoms, including gastrointestinal issues, cardiovascular problems, and abnormalities in sweating and temperature regulation. Patients with Type 1 diabetes often experience fluctuations in blood glucose levels, which can exacerbate neuropathic symptoms. The management of this condition typically 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 for Type 1 diabetes, and adjustments may be necessary to address the autonomic dysfunction. Regular monitoring and comprehensive management strategies are essential to prevent further complications associated with both diabetes and neuropathy.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires understanding of both diabetes and neuropathy
  • Need for precise documentation of symptoms and management
  • Potential for multiple comorbidities complicating coding
  • Variability in clinical presentation among patients

Audit Risk Factors

  • Inadequate documentation of neuropathic symptoms
  • Failure to document HbA1c levels
  • Misclassification of diabetes type
  • Inconsistent coding of related complications

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

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

Common Clinical Scenarios

Management of Type 1 diabetes with complications, including neuropathy.

Billing Considerations

Endocrinologists must ensure comprehensive documentation of all diabetes-related complications.

Neurology

Documentation Requirements

Thorough neurological assessments and documentation of autonomic symptoms.

Common Clinical Scenarios

Evaluation and management of diabetic neuropathy symptoms.

Billing Considerations

Neurologists should document the relationship between diabetes control and neuropathic symptoms.

Coding Guidelines

Inclusion Criteria

Use E10.43 When
  • According to ICD
  • 10 guidelines, E10
  • 43 should be used when a patient with Type 1 diabetes has documented diabetic autonomic neuropathy
  • It is essential to ensure that the documentation supports the diagnosis and that other potential causes of neuropathy are ruled out

Exclusion Criteria

Do NOT use E10.43 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.

Documentation Requirements

Document patient's diabetes management plan and any complications.

Specialty Considerations

Endocrinologists should ensure comprehensive documentation of diabetes control and complications.

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, such as E10.43, which helps in better tracking and management of these conditions in clinical practice.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of diabetes-related complications, such as E10.43, which helps in better tracking and management of these conditions in clinical practice.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of diabetes-related complications, such as E10.43, which helps in better tracking and management of these conditions in clinical practice.

Resources

Clinical References

  • •
    American Diabetes Association

Coding & Billing References

  • •
    American Diabetes Association

Frequently Asked Questions

What is the significance of coding E10.43?

Coding E10.43 is crucial for accurately representing the patient's condition, ensuring appropriate treatment plans, and facilitating proper reimbursement for the management of diabetes and its complications.