E11.610: Type 2 diabetes mellitus with diabetic neuropathic arthropathy
E11.610 is a billable, specific ICD-10-CM code for type 2 diabetes mellitus with diabetic neuropathic arthropathy. It is valid for submission on a claim.
Check E11.610 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Type 2 diabetes mellitus with Charcôt's joints
Excludes1 inherited from the categories above E11.610
A category’s note binds every code beneath it.
Written on E11: Type 2 diabetes mellitus
- diabetes mellitus due to underlying condition (E08.-)
- drug or chemical induced diabetes mellitus (E09.-)
- gestational diabetes (O24.4-)
- neonatal diabetes mellitus (P70.2)
- postpancreatectomy diabetes mellitus (E13.-)
- postprocedural diabetes mellitus (E13.-)
- secondary diabetes mellitus NEC (E13.-)
- type 1 diabetes mellitus (E10.-)
Other codes that can never be billed with E11.610
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
E11.610 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
E11.610 is named in 47 Medicare coverage policies: 46 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A57663Billing and Coding: Nerve Blocks for Peripheral Neuropathynot covered
- A52457Ankle-Foot/Knee-Ankle-Foot Orthoses - Policy Article
- A52464Glucose Monitor - Policy Article
- A52501Therapeutic Shoes for Persons with Diabetes - Policy Article
Alphabetic index entries that lead here
- Diabetes, diabetic›with›Charcot's joints
- Diabetes, diabetic›with›neuropathic arthropathy
- Diabetes, diabetic›type 2›with›Charcot's joints
- Diabetes, diabetic›type 2›with›neuropathic arthropathy
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.