ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 E10.40

Billable / Specific

Type 1 diabetes mellitus with diabetic neuropathy, unspecified

E10
Block
0
Synonyms
615
LCDs
49
Payer Policies
117
Linked CPTs

About ICD-10-CM E10.40

ICD-10-CM code E10.40 represents Type 1 diabetes mellitus with diabetic neuropathy, unspecified. This is a billable/specific code in the Endocrine, Nutritional, and Metabolic chapter (block E10). The 2026 edition of ICD-10-CM E10.40 became effective on October 1, 2025.

Medicare Advantage HCC Impact

ESRD-HCC
Category 75

Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.

Medicare LCD Coverage for E10.40

Local Coverage Determinations (LCDs) from CMS MACs that list E10.40 as a covered diagnosis.

615 LCDs

Showing top 10 of 615 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Magnesium
Article ID: 59186, Effective: 2025-10-01 00:00:00, 4358 covered, 0 non-covered
CPT 83735 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95909 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95887 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95912 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95999 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95910 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95870 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95860 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95913 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95869 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing E10.40.

49 policies

2 Aetna

Orthopedic Casts, Braces and Splints - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0009
Holter Monitors - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0019

4 Cigna

Autonomic Nerve Function Testing - (0506)
Policy ID: MM_0506
Electrical Stimulation Therapy and Devices in a Home Setting - (0160)
Policy ID: MM_0160
Electrodiagnostic Testing (EMG/NCV) - (CPG129)
Policy ID: CPG129_EMG_NCV_SSEP
Orthotic Devices and Shoes - (0543)
Policy ID: MM_0543

5 Medicare

Glucose Monitor - Policy Article
Policy ID: ART-52464
Therapeutic Shoes for Persons with Diabetes - Policy Article
Policy ID: ART-52501
External Infusion Pumps - Policy Article
Policy ID: ART-52507
Billing and Coding: Routine Foot Care
Policy ID: ART-52996
Billing and Coding: Home Health Occupational Therapy
Policy ID: ART-53057

CPT Codes Commonly Billed with E10.40

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

117 linkages
  • 95860 CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD
  • 95874 CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD
  • 95937 CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD
  • G0255 CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD
  • 95861 CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD
  • 95913 CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD
  • 95887 CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD
  • 95863 CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD
  • 95873 CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD
  • 95909 CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD

Convert E10.40 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
E10.40 25061 10000
E10.40 25061 10111
E10.40 3572 10112

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To E10.40

Other codes in section E08-E13 (Diabetes mellitus).

E08 Diabetes mellitus due to underlying condition (non-billable) E08.0 Diabetes mellitus due to underlying condition with hyperosmolarity (non-billable) E08.00 Diabetes mellitus due to underlying condition with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) E08.01 Diabetes mellitus due to underlying condition with hyperosmolarity with coma E08.1 Diabetes mellitus due to underlying condition with ketoacidosis (non-billable) E08.10 Diabetes mellitus due to underlying condition with ketoacidosis without coma E08.11 Diabetes mellitus due to underlying condition with ketoacidosis with coma E08.2 Diabetes mellitus due to underlying condition with kidney complications (non-billable) E08.21 Diabetes mellitus due to underlying condition with diabetic nephropathy E08.22 Diabetes mellitus due to underlying condition with diabetic chronic kidney disease E08.29 Diabetes mellitus due to underlying condition with other diabetic kidney complication E08.3 Diabetes mellitus due to underlying condition with ophthalmic complications (non-billable) E08.31 Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy (non-billable) E08.311 Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy with macular edema E08.319 Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy without macular edema E08.32 Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy (non-billable) E08.321 Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema (non-billable) E08.329 Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy without macular edema (non-billable) E08.33 Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy (non-billable) E08.331 Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema (non-billable)

ICD-10 E10.40, Billing FAQ

Is ICD-10 code E10.40 billable? +

Yes, E10.40 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with E10.40? +

Procedures frequently paired with E10.40 include: 95860, 95874, 95937, G0255, 95861.

What ICD-9 codes does E10.40 map to? +

Per CMS GEMs, E10.40 maps to ICD-9 codes: 25061, 25061, 3572. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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