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ICD-10 Guide
ICD-10 CodesE10.51

E10.51

Billable

Type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene

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

Code Description

ICD-10 E10.51 is a billable code used to indicate a diagnosis of type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene.

Key Diagnostic Point:

E10.51 refers to Type 1 diabetes mellitus characterized by the presence of diabetic peripheral angiopathy, which is a complication that affects the blood vessels in the extremities, leading to reduced blood flow. This condition occurs without the presence of gangrene, which is a severe complication that involves tissue death due to lack of blood supply. Patients with Type 1 diabetes often experience elevated blood glucose levels, which can lead to vascular damage over time. The management of this condition typically involves strict glycemic control, often monitored through HbA1c levels, which should ideally be maintained below 7% to prevent further complications. Insulin therapy is the cornerstone of treatment for Type 1 diabetes, and patients may require multiple daily injections or an insulin pump to achieve optimal control. Diabetic peripheral angiopathy can lead to symptoms such as pain, numbness, and weakness in the legs and feet, increasing the risk of ulcers and infections. Regular monitoring and preventive care are essential to manage this condition effectively and to mitigate the risk of more severe complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of diabetes and their complications
  • Understanding the nuances of diabetic angiopathy versus other vascular complications
  • Accurate documentation of HbA1c levels and insulin management
  • Identifying the absence of gangrene in clinical documentation

Audit Risk Factors

  • Inadequate documentation of peripheral angiopathy
  • Failure to document HbA1c levels
  • Misclassification of diabetes type
  • Lack of evidence for absence of gangrene

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed records of diabetes management, including insulin regimens and HbA1c levels.

Common Clinical Scenarios

Patients presenting with uncontrolled diabetes and complications such as neuropathy or angiopathy.

Billing Considerations

Ensure clear documentation of all diabetes-related complications and treatment plans.

Podiatry

Documentation Requirements

Foot examinations and assessments of peripheral circulation.

Common Clinical Scenarios

Patients with foot ulcers or infections due to diabetic complications.

Billing Considerations

Document the absence of gangrene and any interventions performed.

Coding Guidelines

Inclusion Criteria

Use E10.51 When
  • According to ICD
  • 10 guidelines, E10
  • 51 should be used when a patient has Type 1 diabetes with documented diabetic peripheral angiopathy without gangrene
  • It is important to ensure that the documentation clearly supports the diagnosis and that other potential complications are ruled out

Exclusion Criteria

Do NOT use E10.51 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for routine follow-up visits for diabetes management.

Documentation Requirements

Document the patient's diabetes management plan and any complications.

Specialty Considerations

Endocrinologists should ensure comprehensive documentation of diabetes control.

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 claims and enhancing patient care through better tracking of outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of diabetes-related complications, improving the accuracy of claims and enhancing patient care through better tracking of outcomes.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    American Diabetes Association

Coding & Billing References

  • •
    American Diabetes Association

Frequently Asked Questions

What is the significance of HbA1c levels in managing Type 1 diabetes?

HbA1c levels provide an average of blood glucose control over the past 2-3 months, helping to assess the effectiveness of diabetes management and adjust treatment plans accordingly.