E10.43

E10.43: Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy

Billable / specific codeICD-10-CM

E10.43 is a billable, specific ICD-10-CM code for type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy. It is valid for submission on a claim.

Check E10.43 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Type 1 diabetes mellitus with diabetic gastroparesis

Excludes1 inherited from the categories above E10.43

A category’s note binds every code beneath it.

Written on E10: Type 1 diabetes mellitus

diabetes mellitus due to underlying condition (E08.-)
drug or chemical induced diabetes mellitus (E09.-)
gestational diabetes (O24.4-)
hyperglycemia NOS (R73.9)
neonatal diabetes mellitus (P70.2)
postpancreatectomy diabetes mellitus (E13.-)
postprocedural diabetes mellitus (E13.-)
secondary diabetes mellitus NEC (E13.-)
type 2 diabetes mellitus (E11.-)

Other codes that can never be billed with E10.43

Their own Excludes1 notes name this code, so the conflict is not listed above.

E08Diabetes mellitus due to underlying condition
E09Drug or chemical induced diabetes mellitus
E11Type 2 diabetes mellitus
E13Other specified diabetes mellitus
Q45.3Other congenital malformations of pancreas and pancreatic duct

Risk adjustment

E10.43 risk-adjusts. Under the CMS-HCC V28 model it maps to these categories:

HCC 37 Diabetes with Chronic Complications0.166 RAF
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. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

E10.43 is named in 47 Medicare coverage policies: 44 listing it as supporting medical necessity, and 3 listing it as NOT covered. Which one applies depends on your Medicare contractor.

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