ICD-10 E13.42
Billable / SpecificOther specified diabetes mellitus with diabetic polyneuropathy
About ICD-10-CM E13.42
ICD-10-CM code E13.42 represents Other specified diabetes mellitus with diabetic polyneuropathy. This is a billable/specific code in the Endocrine, Nutritional, and Metabolic chapter (block E13). The 2026 edition of ICD-10-CM E13.42 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under E13.42. Per CMS ICD-10-CM Tabular 2026.
- Other specified diabetes mellitus with diabetic neuralgia
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 E13.42
Local Coverage Determinations (LCDs) from CMS MACs that list E13.42 as a covered diagnosis.
Showing top 10 of 679 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing E13.42.
1 Aetna
2 Cigna
5 Medicare
CPT Codes Commonly Billed with E13.42
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 95923 CMS LCD: Billing and Coding: Autonomic Function Testing CMS LCD
- 95924 CMS LCD: Billing and Coding: Autonomic Function Testing CMS LCD
- 95921 CMS LCD: Billing and Coding: Autonomic Function Testing CMS LCD
- 95922 CMS LCD: Billing and Coding: Autonomic Function Testing CMS LCD
- 29405 CMS LCD: Billing and Coding: Outpatient Physical Therapy CMS LCD
- 95992 CMS LCD: Billing and Coding: Outpatient Physical Therapy CMS LCD
- 29280 CMS LCD: Billing and Coding: Outpatient Physical Therapy CMS LCD
- 97010 CMS LCD: Billing and Coding: Outpatient Physical Therapy CMS LCD
- 29515 CMS LCD: Billing and Coding: Outpatient Physical Therapy CMS LCD
- 97550 CMS LCD: Billing and Coding: Outpatient Physical Therapy CMS LCD
Convert E13.42 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 |
|---|---|---|
| E13.42 | 24960 | 10000 |
| E13.42 | 24960 | 10111 |
| E13.42 | 25060 | 10111 |
| E13.42 | 3572 | 10112 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To E13.42
Other codes in section E08-E13 (Diabetes mellitus).
ICD-10 E13.42, Billing FAQ
Is ICD-10 code E13.42 billable? +
Yes, E13.42 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 E13.42? +
ICD-10 E13.42 includes: Other specified diabetes mellitus with diabetic neuralgia.
What CPT codes are commonly billed with E13.42? +
Procedures frequently paired with E13.42 include: 95923, 95924, 95921, 95922, 29405.
What ICD-9 codes does E13.42 map to? +
Per CMS GEMs, E13.42 maps to ICD-9 codes: 24960, 24960, 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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