E11.618

HCC Category Mapping

What This Code Means

Type 2 diabetes that causes joint and bone problems, including arthritis-like conditions affecting the joints.

Coding Tips

• •Specify which joint(s) are affected when documentation is available to ensure accurate coding
• •Distinguish from other arthropathies by confirming the condition is directly related to diabetes

Clinical Significance

Type 2 diabetes mellitus with other diabetic arthropathy covers joint disorders caused by diabetes that are not neuropathic arthropathy, including diabetic cheiroarthropathy (limited joint mobility of the hands), adhesive capsulitis (frozen shoulder), Dupuytren contracture, and other connective tissue changes from glycosylation of collagen. These conditions reflect the systemic effects of chronic hyperglycemia on musculoskeletal structures.

Documentation Requirements

• ✓The provider must document the specific arthropathy and establish its causal relationship to Type 2 diabetes.
• ✓Affected joints, range of motion measurements, functional impact, and treatment plans should be recorded.
• ✓The documentation must distinguish this from neuropathic arthropathy (E11.610) and from primary musculoskeletal conditions unrelated to diabetes.

Commonly Confused Codes