ICD Code E11.43

ICD code E11.43 is type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy, meaning the patient has type 2 diabetes and also suffers from nerve damage affecting the autonomic nervous system due to diabetes.

1. Patient has a confirmed diagnosis of type 2 diabetes mellitus.

2. Evidence of autonomic neuropathy is present, such as gastroparesis, orthostatic hypotension, abnormal sweating, or bladder dysfunction.

3. Neuropathy is determined to be a complication directly related to diabetes.

4. No evidence of type 1 diabetes or other specific types of diabetes.

5. Clinical documentation supports both the presence of type 2 diabetes and associated autonomic (poly)neuropathy.

Relevant CPT codes that may be used to treat ICD code E11.43 include:

- 99202–99215 (Evaluation and Management services)

- 95250 (Continuous glucose monitoring, patient-owned equipment, sensor placement, hook-up, calibration, patient training, and printout)

- 95251 (Ambulatory continuous glucose monitoring interpretation and report)

- 82947 (Glucose; quantitative, blood [except reagent strip])

- 82962 (Glucose, blood by glucose monitoring device(s) cleared by FDA specifically for home use)

- 93000 (Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report)

- 95900–95904 (Nerve conduction studies)

- 95921 (Autonomic nervous system function testing; cardiovagal innervation)

- 95922 (Autonomic nervous system function testing; adrenergic innervation)

- 96372 (Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular)

- 36415 (Collection of venous blood by venipuncture)

The selection of specific CPT codes should be based on the services rendered and provider documentation.

Schedule a demo to see how MD Clarity’s RevFind software can automatically read your contracts and identify underpayments for CPT codes associated with ICD code E11.43. Discover how easy it is to ensure accurate reimbursement and maximize your revenue with RevFind.