ICD-10 E11.40
Billable / SpecificType 2 diabetes mellitus with diabetic neuropathy, unspecified
About ICD-10-CM E11.40
ICD-10-CM code E11.40 represents Type 2 diabetes mellitus with diabetic neuropathy, unspecified. This is a billable/specific code in the Endocrine, Nutritional, and Metabolic chapter (block E11). The 2026 edition of ICD-10-CM E11.40 became effective on October 1, 2025.
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 E11.40
Local Coverage Determinations (LCDs) from CMS MACs that list E11.40 as a covered diagnosis.
Showing top 10 of 626 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing E11.40.
2 Aetna
4 Cigna
5 Medicare
CPT Codes Commonly Billed with E11.40
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 99214 Established patient — moderate complexity: uncontrolled HTN, diabetes with complications, multiple chronic conditions, COPD, AFib, CKD, sleep apnea, chronic pain, depression Primary Care
- 83036 Hemoglobin A1c — type 2 diabetes, type 1 diabetes, prediabetes, diabetes screening, diabetic kidney disease, diabetic retinopathy Laboratory
- 95907 Nerve conduction study 1-2 — carpal tunnel, ulnar neuropathy, sciatica, polyneuropathy, Guillain-Barre, diabetic neuropathy, hereditary neuropathy Neurology
- 95910 Nerve conduction study 5-6 — same plus myasthenia gravis Neurology
- 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
Convert E11.40 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 |
|---|---|---|
| E11.40 | 25060 | 10000 |
| E11.40 | 25060 | 10111 |
| E11.40 | 3572 | 10112 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To E11.40
Other codes in section E08-E13 (Diabetes mellitus).
ICD-10 E11.40, Billing FAQ
Is ICD-10 code E11.40 billable? +
Yes, E11.40 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 E11.40? +
Procedures frequently paired with E11.40 include: 99214, 83036, 95907, 95910, 95860.
What ICD-9 codes does E11.40 map to? +
Per CMS GEMs, E11.40 maps to ICD-9 codes: 25060, 25060, 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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