E10.618
BillableType 1 diabetes mellitus with other diabetic arthropathy
HCC Category Mapping
V28HCC 37 — Diabetes with Chronic Complications
0.245V24HCC 18 — Diabetes with Chronic Complications
0.302ESRDHCC 18 — Diabetes with Chronic Complications
0.000RxHCCHCC 30 — Diabetes with Complications
0.000What This Code Means
Type 1 diabetes with joint and bone problems other than Charcot joints, such as arthritis or joint damage caused by diabetes.
Coding Tips
- •Verify that the arthropathy is diabetic-related and not a separate primary joint condition
- •Document which joints are affected and the nature of the arthropathy
Clinical Significance
Type 1 diabetes mellitus with other diabetic arthropathy encompasses joint disorders caused by diabetes that are not neuropathic arthropathy (Charcot joint). This includes conditions such as diabetic cheiroarthropathy (limited joint mobility syndrome), adhesive capsulitis, or other diabetes-related joint stiffness and inflammation. These conditions reflect the systemic connective tissue effects of chronic hyperglycemia.
Documentation Requirements
- ✓The medical record must specify the type of arthropathy and link it to Type 1 diabetes.
- ✓Documentation should describe the affected joints, range of motion limitations, and functional impact.
- ✓The provider must distinguish this from neuropathic arthropathy (Charcot joint) and from primary musculoskeletal conditions unrelated to diabetes.
Commonly Confused Codes
E10.610 (neuropathic arthropathy) is used specifically for Charcot joint and carries different clinical implications.M79.3 (panniculitis) and other primary musculoskeletal codes should not be used when the arthropathy is diabetic in origin.E10.69 (other specified complication) is too broad when the complication is specifically an arthropathy.
Code Hierarchy
└E10Type 1 diabetes mellitus└E10.6Type 1 diabetes mellitus with other specified complications└E10.61Type 1 diabetes mellitus with diabetic arthropathy└E10.618Type 1 diabetes mellitus with other diabetic arthropathy
└E10.618Type 1 diabetes mellitus with other diabetic arthropathy