E08.42 — Diabetes mellitus due to underlying condition with diabetic polyneuropathy
E08.42 is a billable, specific ICD-10-CM code for diabetes mellitus due to underlying condition with diabetic polyneuropathy. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Diabetes mellitus due to underlying condition with diabetic neuralgia
Risk adjustment
E08.42 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 37 Diabetes with Chronic Complications0.166 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
E08.42 is named in 42 Medicare coverage policies — 39 listing it as supporting medical necessity, and 3 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56731Billing and Coding: Nerve Blocks and Electrostimulation for Peripheral Neuropathynot covered
- A57589Billing and Coding: Nerve Blocks for Peripheral Neuropathynot covered
- A57663Billing and Coding: Nerve Blocks for Peripheral Neuropathynot covered
- A52464Glucose Monitor - Policy Article
How E08.42 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to E08.42.
- Diabetes, diabetic›due to underlying condition›with›neuralgia
- Diabetes, diabetic›due to underlying condition›with›polyneuropathy
Related codes at this level
Codes that share E08.4. If E08.42 is not quite right, the correct code is usually one of these.
- E08.40Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified
- E08.41Diabetes mellitus due to underlying condition with diabetic mononeuropathy
- E08.43Diabetes mellitus due to underlying condition with diabetic autonomic (poly)neuropathy
- E08.44Diabetes mellitus due to underlying condition with diabetic amyotrophy
- E08.49Diabetes mellitus due to underlying condition with other diabetic neurological complication
Questions about E08.42
- Is E08.42 a billable ICD-10-CM code?
- Yes. E08.42 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does E08.42 sit in the tabular list?
- Endocrine, nutritional and metabolic diseases (E00-E89), in the block Diabetes mellitus (E08-E13).