Neurology & Pain Management Coding Alert

Question: Our physician indicated the patient has diabetes complicated by peripheral neuropathy. What diagnosis codes can we report for this condition? Florida Subscriber Answer: When reporting diabetic neuropathy, the primary diagnosis code is 250.6x (Diabetes with neurological manifestations). Depending upon whether it is type I or type II diabetes and if it is uncontrolled or not, you select from the following 4 codes: 250.60 -- Diabetes with neurological manifestations, type II or unspecified type, not stated as uncontrolled 250.61 -- Diabetes with neurological manifestations, type I [juvenile type], not stated as uncontrolled 250.62 -- Diabetes with neurological manifestations, type II or unspecified type, uncontrolled 250.63 -- Diabetes with neurological manifestations, type I [juvenile type], uncontrolled The instructions under code 250.6x direct you to use an additional code to identify manifestations. Both 337.1 (Peripheral autonomic neuropathy in disorders classified elsewhere) and 357.2 (Polyneuropathy in diabetes) are among the possible manifestations listed under the code 250.6x. [...]