ICD-10 Diagnosis Code E10.621

Type 1 diabetes mellitus with foot ulcer

Diagnosis Code E10.621

ICD-10: E10.621
Short Description: Type 1 diabetes mellitus with foot ulcer
Long Description: Type 1 diabetes mellitus with foot ulcer
This is the 2017 version of the ICD-10-CM diagnosis code E10.621

Valid for Submission
The code E10.621 is valid for submission for HIPAA-covered transactions.

Code Classification
  • Endocrine, nutritional and metabolic diseases (E00–E90)
    • Diabetes mellitus (E08-E13)
      • Type 1 diabetes mellitus (E10)

Information for Medical Professionals

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Synonyms
  • Foot ulcer due to type 1 diabetes mellitus
  • Forefoot ulcer due to type 1 diabetes mellitus
  • Heel AND/OR midfoot ulcer due to type 1 diabetes mellitus
  • Skin ulcer associated with diabetes mellitus
  • Skin ulcer of toe due to diabetes mellitis type 1
  • Ulcer of lower limb due to type 1 diabetes mellitus

Index of Diseases and Injuries
References found for the code E10.621 in the Index of Diseases and Injuries:


    Information for Patients


    Diabetes Type 1

    Also called: Insulin-dependent diabetes, Juvenile diabetes, Type I diabetes

    Diabetes means your blood glucose, or blood sugar, levels are too high. With type 1 diabetes, your pancreas does not make insulin. Insulin is a hormone that helps glucose get into your cells to give them energy. Without insulin, too much glucose stays in your blood. Over time, high blood glucose can lead to serious problems with your heart, eyes, kidneys, nerves, and gums and teeth.

    Type 1 diabetes happens most often in children and young adults but can appear at any age. Symptoms may include

    • Being very thirsty
    • Urinating often
    • Feeling very hungry or tired
    • Losing weight without trying
    • Having sores that heal slowly
    • Having dry, itchy skin
    • Losing the feeling in your feet or having tingling in your feet
    • Having blurry eyesight

    A blood test can show if you have diabetes. If you do, you will need to take insulin for the rest of your life. A blood test called the A1C can check to see how well you are managing your diabetes.

    NIH: National Institute of Diabetes and Digestive and Kidney Diseases

    • A1C test (Medical Encyclopedia)
    • Diabetes - low blood sugar - self-care (Medical Encyclopedia)
    • Diabetes - tests and checkups (Medical Encyclopedia)
    • Diabetes - when you are sick (Medical Encyclopedia)
    • Diabetes and exercise (Medical Encyclopedia)
    • Diabetic ketoacidosis (Medical Encyclopedia)
    • Giving an insulin injection (Medical Encyclopedia)
    • Type 1 diabetes (Medical Encyclopedia)


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    Diabetic Foot

    If you have diabetes, your blood glucose, or blood sugar, levels are too high. Over time, this can damage your nerves or blood vessels. Nerve damage from diabetes can cause you to lose feeling in your feet. You may not feel a cut, a blister or a sore. Foot injuries such as these can cause ulcers and infections. Serious cases may even lead to amputation. Damage to the blood vessels can also mean that your feet do not get enough blood and oxygen. It is harder for your foot to heal, if you do get a sore or infection.

    You can help avoid foot problems. First, control your blood sugar levels. Good foot hygiene is also crucial:

    • Check your feet every day
    • Wash your feet every day
    • Keep the skin soft and smooth
    • Smooth corns and calluses gently
    • If you can see, reach, and feel your feet, trim your toenails regularly. If you cannot, ask a foot doctor (podiatrist) to trim them for you.
    • Wear shoes and socks at all times
    • Protect your feet from hot and cold
    • Keep the blood flowing to your feet

    NIH: National Institute of Diabetes and Digestive and Kidney Diseases

    • Diabetes - foot ulcers (Medical Encyclopedia)
    • Diabetes - taking care of your feet (Medical Encyclopedia)
    • Foot amputation - discharge (Medical Encyclopedia)
    • Leg or foot amputation - dressing change (Medical Encyclopedia)


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    Type 1 diabetes Type 1 diabetes is a disorder characterized by abnormally high blood sugar levels. In this form of diabetes, specialized cells in the pancreas called beta cells stop producing insulin. Insulin controls how much glucose (a type of sugar) is passed from the blood into cells for conversion to energy. Lack of insulin results in the inability to use glucose for energy or to control the amount of sugar in the blood.Type 1 diabetes can occur at any age; however, it usually develops by early adulthood, most often starting in adolescence. The first signs and symptoms of the disorder are caused by high blood sugar and may include frequent urination (polyuria), excessive thirst (polydipsia), fatigue, blurred vision, tingling or loss of feeling in the hands and feet, and weight loss. These symptoms may recur during the course of the disorder if blood sugar is not well controlled by insulin replacement therapy. Improper control can also cause blood sugar levels to become too low (hypoglycemia). This may occur when the body's needs change, such as during exercise or if eating is delayed. Hypoglycemia can cause headache, dizziness, hunger, shaking, sweating, weakness, and agitation.Uncontrolled type 1 diabetes can lead to a life-threatening complication called diabetic ketoacidosis. Without insulin, cells cannot take in glucose. A lack of glucose in cells prompts the liver to try to compensate by releasing more glucose into the blood, and blood sugar can become extremely high. The cells, unable to use the glucose in the blood for energy, respond by using fats instead. Breaking down fats to obtain energy produces waste products called ketones, which can build up to toxic levels in people with type 1 diabetes, resulting in diabetic ketoacidosis. Affected individuals may begin breathing rapidly; develop a fruity odor in the breath; and experience nausea, vomiting, facial flushing, stomach pain, and dryness of the mouth (xerostomia). In severe cases, diabetic ketoacidosis can lead to coma and death.Over many years, the chronic high blood sugar associated with diabetes may cause damage to blood vessels and nerves, leading to complications affecting many organs and tissues. The retina, which is the light-sensitive tissue at the back of the eye, can be damaged (diabetic retinopathy), leading to vision loss and eventual blindness. Kidney damage (diabetic nephropathy) may also occur and can lead to kidney failure and end-stage renal disease (ESRD). Pain, tingling, and loss of normal sensation (diabetic neuropathy) often occur, especially in the feet. Impaired circulation and absence of the normal sensations that prompt reaction to injury can result in permanent damage to the feet; in severe cases, the damage can lead to amputation. People with type 1 diabetes are also at increased risk of heart attacks, strokes, and problems with urinary and sexual function.
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