E10.44

HCC Category Mapping

What This Code Means

Type 1 diabetes with diabetic amyotrophy, a condition causing weakness and wasting of muscles, particularly in the thighs and hips, due to nerve damage from diabetes.

Coding Tips

• •Amyotrophy is a specific neurological complication distinct from general diabetic neuropathy; ensure documentation clearly identifies muscle weakness and atrophy
• •This code requires confirmation that the muscle condition is directly related to the diabetes diagnosis

Clinical Significance

Diabetic amyotrophy in Type 1 diabetes mellitus represents a severe neurological complication causing progressive proximal muscle weakness and wasting, most commonly in the thighs and hips. This condition, also known as diabetic lumbosacral radiculoplexus neuropathy, significantly impacts mobility and quality of life. It reflects advanced nerve damage from sustained hyperglycemia and requires aggressive glycemic management and physical rehabilitation.

Documentation Requirements

• ✓Documentation must explicitly state Type 1 diabetes mellitus with diabetic amyotrophy, including the specific muscles affected, degree of weakness or atrophy, and functional limitations.
• ✓Providers should record electromyography or nerve conduction study results if performed, along with the causal relationship between diabetes and the muscle wasting.
• ✓Physical therapy referrals and progress notes further substantiate the diagnosis.

Commonly Confused Codes