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Home/Diagnosis/ICD-10 Coding for Diabetic Nephropathy

ICD-10 Coding for Diabetic Nephropathy

E11.21
E10.21

Complete ICD-10-CM coding and documentation guide for icd-10 coding for diabetic nephropathy includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Diabetic Kidney Disease
Diabetic Glomerulosclerosis
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Key Information: ICD-10 Coding for Diabetic Nephropathy

Essential facts and insights about ICD-10 Coding for Diabetic Nephropathy

Use ICD-10 code E11.21 for type 2 diabetes mellitus with diabetic nephropathy, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Type 2 diabetes mellitus with diabetic nephropathy

Billable Code
E11.21
Billable

Diagnostic Criteria

clinical:
  • • Albuminuria ≥30 mg/g
  • • eGFR <60 mL/min/1.73m²
  • • Biopsy-proven glomerular damage
documentation:
  • • Explicit mention of diabetic nephropathy

Applicable To

  • • Diabetic nephropathy due to type 2 diabetes

Important Notes

  • • Ensure documentation specifies the link between diabetes and nephropathy.

Type 1 diabetes mellitus with diabetic nephropathy

Billable Code
E10.21
Billable

Diagnostic Criteria

clinical:
  • • Albuminuria ≥30 mg/g
  • • eGFR <60 mL/min/1.73m²
  • • Biopsy-proven glomerular damage
documentation:
  • • Explicit mention of diabetic nephropathy

Applicable To

  • • Diabetic nephropathy due to type 1 diabetes

Important Notes

  • • Ensure documentation specifies the link between diabetes and nephropathy.
Ancillary Codes

Additional codes that may be used with this diagnosis

N18.3

Chronic kidney disease, stage 3

Use to specify CKD stage when linked to diabetes.

Frequently Asked Questions

What is the ICD-10 code for diabetic nephropathy?

The ICD-10 code for diabetic nephropathy is E11.21 for type 2 diabetes and E10.21 for type 1 diabetes, provided nephropathy is explicitly linked to diabetes.

How do you code diabetic nephropathy with CKD?

Code E11.22 for type 2 diabetes with CKD and E10.22 for type 1, adding the appropriate CKD stage code from N18.x.

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