ICD-10 Code E08.610 – Diabetes mellitus due to underlying condition with diabetic neuropathic arthropathy (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code E08.610 – Diabetes mellitus due to underlying condition with diabetic neuropathic arthropathy
What it is
This code identifies diabetes caused by another underlying condition, complicated by neuropathic arthropathy, also called Charcot joint. It reflects joint damage related to diabetic nerve injury rather than simple diabetes alone.
Clinical signs
Look for diabetes with neuropathy plus joint destruction, deformity, swelling, warmth, or instability in an affected foot or other joint. Clinical features vary; refer to documentation.
When to use this code
Use E08.610 when the record clearly links diabetes due to an underlying condition with diabetic neuropathic arthropathy. You should code it when the provider documents Charcot joint, neuropathic arthropathy, or diabetic joint collapse in this setting.
Confirm that the diabetes is secondary to another condition, not type 1 or type 2. If the chart does not specify the underlying cause or the neuropathic arthropathy, check documentation.
Do not use for
Do not use this code for uncomplicated diabetes, peripheral neuropathy alone, or non-diabetic arthropathy. Do not apply it unless the provider documents the neuropathic joint complication.
Coding tip
Verify both elements in the note: diabetes due to an underlying condition and diabetic neuropathic arthropathy; if either is missing, query the record.