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Compare/E13 vs G54.5

E13 vs G54.5

E13 (Other specified diabetes mellitus) compared with G54.5 (Neuralgic amyotrophy), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. G54.5 carries an Excludes1 note covering E13: “neuralgic amyotrophy in diabetes mellitus (E08-E13 with .44)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

E13Other specified diabetes mellitusG54.5Neuralgic amyotrophy
Billing statusNon-billable header

Report instead: E13.00, E13.01, E13.10, E13.11, E13.21

Billable
ClassificationE00-E89 — Endocrine, Nutritional and Metabolic Diseases (E00-E89)G00-G99 — Diseases of the Nervous System (G00-G99)
DefinitionOther specified diabetes mellitus is a non-billable ICD-10-CM category code (E13).Neuralgic amyotrophy is a billable ICD-10-CM diagnosis code (G54.5).
Includes
diabetes mellitus due to genetic defects of beta-cell function
diabetes mellitus due to genetic defects in insulin action
postpancreatectomy diabetes mellitus
postprocedural diabetes mellitus
Parsonage-Aldren-Turner syndrome
Shoulder-girdle neuritis
Use additional code
code to identify control using:
injectable non-insulin antidiabetic drugs (Z79.85)
insulin (Z79.4)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources