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ICD-10 Guide
ICD-10 CodesE10.44

E10.44

Billable

Type 1 diabetes mellitus with diabetic amyotrophy

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

Code Description

ICD-10 E10.44 is a billable code used to indicate a diagnosis of type 1 diabetes mellitus with diabetic amyotrophy.

Key Diagnostic Point:

Type 1 diabetes mellitus with diabetic amyotrophy is a specific complication of diabetes characterized by muscle weakness and atrophy, primarily affecting the proximal muscles of the lower limbs. This condition arises due to nerve damage caused by prolonged hyperglycemia, leading to neuropathy. Patients may experience symptoms such as pain, weakness, and difficulty in walking. The onset of diabetic amyotrophy is often gradual and can significantly impact the quality of life. Management of this condition involves strict glycemic control, often monitored through HbA1c levels, which should ideally be maintained below 7% to prevent further complications. Insulin therapy is typically required for Type 1 diabetes, and adjustments may be necessary to manage blood glucose levels effectively. Early recognition and intervention are crucial to mitigate the progression of diabetic amyotrophy and improve patient outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of diabetes complications and their coding nuances.
  • Differentiation from other types of diabetic neuropathy.
  • Need for precise documentation of symptoms and clinical findings.
  • Management of insulin therapy and its impact on coding.

Audit Risk Factors

  • Inadequate documentation of symptoms related to diabetic amyotrophy.
  • Failure to document HbA1c levels and their management.
  • Misclassification of diabetic neuropathy types.
  • Lack of clarity on the patient's insulin regimen.

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with uncontrolled diabetes and neurological symptoms.

Billing Considerations

Ensure comprehensive documentation of diabetes management plans and complications.

Neurology

Documentation Requirements

Thorough neurological assessments and documentation of muscle strength and function.

Common Clinical Scenarios

Patients with muscle weakness and pain in the context of diabetes.

Billing Considerations

Document the relationship between diabetes control and neurological symptoms.

Coding Guidelines

Inclusion Criteria

Use E10.44 When
  • According to ICD
  • 10 guidelines, E10
  • 44 should be used when a patient with Type 1 diabetes presents with diabetic amyotrophy
  • Documentation must clearly indicate the presence of both conditions, and the relationship between them should be established

Exclusion Criteria

Do NOT use E10.44 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits for diabetes management and complications.

Documentation Requirements

Document the patient's diabetes management, HbA1c levels, 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 diagnoses and treatment plans. E10.44 provides a clear distinction for diabetic amyotrophy, which aids in better patient management and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of diabetes-related complications, improving the accuracy of diagnoses and treatment plans. E10.44 provides a clear distinction for diabetic amyotrophy, which aids in better patient management and resource allocation.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    American Diabetes Association

Coding & Billing References

  • •
    American Diabetes Association

Frequently Asked Questions

What is diabetic amyotrophy?

Diabetic amyotrophy is a complication of diabetes characterized by muscle weakness and atrophy, primarily affecting the proximal muscles of the lower limbs due to nerve damage from prolonged high blood sugar levels.

How is E10.44 different from other diabetes codes?

E10.44 specifically denotes Type 1 diabetes with diabetic amyotrophy, requiring detailed documentation of neurological symptoms and their impact on the patient's functional status, unlike more general diabetes codes.