E11.40 Type 2 diabetes mellitus with diabetic neuropathy, unspecified

ICD10CM code

#### Name of the Condition
- Type 2 Diabetes Mellitus with Diabetic Neuropathy, Unspecified (ICD-10: E11.40)

#### Summary
- Type 2 diabetes mellitus is a chronic condition that affects how your body metabolizes glucose, leading to high blood sugar levels. When coupled with diabetic neuropathy, it also results in nerve damage, primarily in the legs and feet, due to long-term high blood glucose levels.

#### Causes
- The exact cause of type 2 diabetes and diabetic neuropathy is multifactorial, involving a combination of genetic predisposition and lifestyle factors such as poor diet, obesity, and physical inactivity.

#### Risk Factors
- Elevated body weight, sedentary lifestyle, unhealthy diet, advancing age, family history of diabetes, and high blood pressure.

#### Symptoms
- Persistent numbness or tingling in the hands or feet, burning sensations, sharp pains, muscle weakness, or balance issues.

#### Diagnosis
- Blood tests like HbA1c, fasting blood sugar, and glucose tolerance tests to diagnose diabetes. Nerve conduction studies and monofilament testing may be used to assess neuropathy.

#### Treatment Options
- Management includes lifestyle changes, oral medications such as metformin, and insulin therapy for glucose control. Pain from neuropathy may be managed with medications like pregabalin, gabapentin, or antidepressants. Physical therapy can also help improve muscle strength and coordination.

#### Prognosis and Follow-Up
- With proper management, patients can maintain a good quality of life, although the progression of neuropathy can vary. Regular check-ups are crucial to monitor blood sugar levels and detect complications early.

#### Complications
- Potential complications include foot ulcers, infections, potential amputations, chronic pain, and an increased risk of cardiovascular disease.

#### Lifestyle & Prevention
- Following a balanced diet, maintaining a healthy weight, engaging in regular physical activity, and monitoring blood sugar levels can help manage and prevent type 2 diabetes and its complications.

#### When to Seek Professional Help
- Seek medical advice if you experience extreme thirst, frequent urination, unexplained weight loss, persistent numbness, foot wounds that do not heal, or severe pain in extremities.

#### Additional Resources
- American Diabetes Association (ADA): [diabetes.org](https://www.diabetes.org)
- National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK): [niddk.nih.gov](https://www.niddk.nih.gov)

#### Tips for Medical Coders
- Ensure proper documentation of both diabetes and the presence of neuropathic symptoms. 
- Avoid coding unspecified neuropathy unless additional details are unavailable; specificity aids in effective treatment and management options.

Medical Policies and Guidelines for Type 2 diabetes mellitus with diabetic neuropathy, unspecified

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