E13.610

HCC Category Mapping

What This Code Means

A type of diabetes (not type 1 or type 2) that causes joint damage and arthritis due to nerve damage from high blood sugar.

Coding Tips

• •This code requires documentation of both the diabetes type (other specified) and the neuropathic arthropathy complication
• •Verify the specific joint affected is documented; additional codes may be needed to specify location

Clinical Significance

E13.610 identifies diabetic neuropathic arthropathy (Charcot joint) in other specified diabetes mellitus. Charcot neuroarthropathy is a progressive, destructive joint condition resulting from severe peripheral neuropathy that eliminates protective pain sensation, leading to unrecognized repetitive trauma, joint destruction, deformity, and potential limb loss, most commonly affecting the foot and ankle.

Documentation Requirements

• ✓Documentation must confirm secondary diabetes, neuropathic arthropathy diagnosis, and the affected joint(s).
• ✓Imaging findings showing joint destruction, fractures, dislocations, or bone remodeling should be referenced.
• ✓The link between diabetic neuropathy and the joint disease must be established.

Commonly Confused Codes