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

Risk adjustment

E11.40 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

• HCC 37 Diabetes with Chronic Complications0.166 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.

Medicare coverage

E11.40 is named in 46 Medicare coverage policies — 43 listing it as supporting medical necessity, and 3 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

• A56731Billing and Coding: Nerve Blocks and Electrostimulation for Peripheral Neuropathynot covered
• A57589Billing and Coding: Nerve Blocks for Peripheral Neuropathynot covered
• A57663Billing and Coding: Nerve Blocks for Peripheral Neuropathynot covered
• A52464Glucose Monitor - Policy Article