Question: Missouri Subscriber Answer: The code for Charcot arthropathy (713.5) is a manifestation code; therefore, it is always reported as a secondary code with the underlying disease code reporting first. It is better to verify whether or not the patient has diabetic Charcot arthropathy, the most likely scenario, which would be reported with codes 250.6x (Diabetes with neurological manifestations) and 713.5. If the underlying disease is not specified, ICD 9 guidelines dictate that code 094.0 (Tabes dorsalis) be reported as the primary diagnosis code.