ICD-10 E10.610
Billable / Specific HCC v28: 18Type 1 diabetes mellitus with diabetic neuropathic arthropathy
About ICD-10-CM E10.610
ICD-10-CM code E10.610 represents Type 1 diabetes mellitus with diabetic neuropathic arthropathy. This is a billable/specific code in the Endocrine, Nutritional, and Metabolic chapter (block E10). The 2026 edition of ICD-10-CM E10.610 became effective on October 1, 2025.
Coding Tips for E10.610
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
E10.610 is a CMS-HCC v28 risk-adjustment code (category 18). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under E10.610. Per CMS ICD-10-CM Tabular 2026.
- Type 1 diabetes mellitus with Charcôt's joints
Medicare Advantage HCC Impact
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 E10.610
Local Coverage Determinations (LCDs) from CMS MACs that list E10.610 as a covered diagnosis.
Showing top 10 of 512 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing E10.610.
1 Aetna
2 Cigna
5 Medicare
CPT Codes Commonly Billed with E10.610
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 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 E10.610 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| E10.610 | 25061 | 10111 |
| E10.610 | 7135 | 10112 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To E10.610
Other codes in section E08-E13 (Diabetes mellitus).
ICD-10 E10.610, Billing FAQ
Is ICD-10 code E10.610 billable? +
Yes, E10.610 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to E10.610? +
ICD-10 E10.610 includes: Type 1 diabetes mellitus with Charcôt's joints.
Does E10.610 affect Medicare Advantage HCC risk adjustment? +
Yes. E10.610 maps to CMS-HCC v28 category 18. Capture this diagnosis annually for accurate Medicare Advantage risk score.
What CPT codes are commonly billed with E10.610? +
Procedures frequently paired with E10.610 include: 95860, 95874, 95937, G0255, 95861.
What ICD-9 codes does E10.610 map to? +
Per CMS GEMs, E10.610 maps to ICD-9 codes: 25061, 7135. 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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