ICD-10-CM Code E11.621

Type 2 diabetes mellitus with foot ulcer

Version 2021 Billable Code

Valid for Submission

E11.621 is a billable code used to specify a medical diagnosis of type 2 diabetes mellitus with foot ulcer. The code is valid for the fiscal year 2021 for the submission of HIPAA-covered transactions. The ICD-10-CM code E11.621 might also be used to specify conditions or terms like chronic neurogenic ulcer of lower limb, chronic ulcer of foot, diabetic foot, foot ulcer due to type 2 diabetes mellitus, ischemic foot ulcer, ischemic foot ulcer, etc

ICD-10:E11.621
Short Description:Type 2 diabetes mellitus with foot ulcer
Long Description:Type 2 diabetes mellitus with foot ulcer

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code E11.621:

Use Additional Code

Use Additional Code
The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code E11.621 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Chronic neurogenic ulcer of lower limb
  • Chronic ulcer of foot
  • Diabetic foot
  • Foot ulcer due to type 2 diabetes mellitus
  • Ischemic foot ulcer
  • Ischemic foot ulcer
  • Ischemic heel and/or midfoot ulcer due to type 2 diabetes mellitus
  • Ischemic ulcer of foot due to diabetes mellitus
  • Ischemic ulcer of foot due to type 2 diabetes mellitus
  • Mixed diabetic ulcer - foot
  • Neuroischemic foot ulcer
  • Neuropathic ulcer
  • Neuropathic ulcer
  • Neuropathic ulcer of foot due to diabetes mellitus
  • Neuropathic ulcer of foot due to diabetes mellitus
  • Neuropathic ulcer of foot due to type 2 diabetes mellitus
  • Neuropathic ulcer of heel due to type 2 diabetes mellitus
  • Neuropathic ulcer of midfoot due to type 2 diabetes mellitus
  • Neuropathic ulcer of toe due to type 2 diabetes mellitus
  • O/E - left chronic diabetic foot ulcer
  • O/E - Left diabetic foot - ulcerated
  • O/E - right chronic diabetic foot ulcer
  • O/E - Right diabetic foot - ulcerated
  • Skin ulcer due to diabetes mellitus
  • Skin ulcer due to type 2 diabetes mellitus
  • Skin ulcer of toe due to diabetes mellitus type 2
  • Ulcer of forefoot due to type 2 diabetes mellitus
  • Ulcer of heel
  • Ulcer of heel
  • Ulcer of heel due to diabetes mellitus
  • Ulcer of heel due to type 2 diabetes mellitus
  • Ulcer of left foot due to type 2 diabetes mellitus
  • Ulcer of midfoot
  • Ulcer of midfoot
  • Ulcer of midfoot due to diabetes mellitus
  • Ulcer of right foot due to type 2 diabetes mellitus
  • Ulcer of toe due to type 2 diabetes mellitus

Convert E11.621 to ICD-9

  • 250.80 - DMII oth nt st uncntrld (Approximate Flag)

Code Classification

  • Endocrine, nutritional and metabolic diseases (E00–E90)
    • Diabetes mellitus (E08-E13)
      • Type 2 diabetes mellitus (E11)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021

Information for Patients


Diabetes Type 2

Also called: Type 2 Diabetes

Diabetes means your blood glucose, or blood sugar, levels are too high. With type 2 diabetes, the more common type, your body does not make or use insulin well. 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.

You have a higher risk of type 2 diabetes if you are older, have obesity, have a family history of diabetes, or do not exercise. Having prediabetes also increases your risk. Prediabetes means that your blood sugar is higher than normal but not high enough to be called diabetes. If you are at risk for type 2 diabetes, you may be able to delay or prevent developing it by making some lifestyle changes.

The symptoms of type 2 diabetes appear slowly. Some people do not notice symptoms at all. The symptoms can include

  • Being very thirsty
  • Urinating often
  • Feeling very hungry or tired
  • Losing weight without trying
  • Having sores that heal slowly
  • Having blurry eyesight

Blood tests can show if you have diabetes. One type of test, the A1C, can also check on how you are managing your diabetes. Many people can manage their diabetes through healthy eating, physical activity, and blood glucose testing. Some people also need to take diabetes medicines.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

  • A1C test (Medical Encyclopedia)
  • Diabetes type 2 - meal planning (Medical Encyclopedia)
  • Giving an insulin injection (Medical Encyclopedia)
  • High blood sugar - self-care (Medical Encyclopedia)
  • Type 2 diabetes (Medical Encyclopedia)
  • Type 2 diabetes - self-care (Medical Encyclopedia)

[Learn More]

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)

[Learn More]

Type 2 diabetes Type 2 diabetes is a disorder characterized by abnormally high blood sugar levels. In this form of diabetes, the body stops using and making insulin properly. Insulin is a hormone produced in the pancreas that helps regulate blood sugar levels. Specifically, insulin controls how much glucose (a type of sugar) is passed from the blood into cells, where it is used as an energy source. When blood sugar levels are high (such as after a meal), the pancreas releases insulin to move the excess glucose into cells, which reduces the amount of glucose in the blood.Most people who develop type 2 diabetes first have insulin resistance, a condition in which the body's cells use insulin less efficiently than normal. As insulin resistance develops, more and more insulin is needed to keep blood sugar levels in the normal range. To keep up with the increasing need, insulin-producing cells in the pancreas (called beta cells) make larger amounts of insulin. Over time, the beta cells become less able to respond to blood sugar changes, leading to an insulin shortage that prevents the body from reducing blood sugar levels effectively. Most people have some insulin resistance as they age, but inadequate exercise and excessive weight gain make it worse, greatly increasing the likelihood of developing type 2 diabetes.Type 2 diabetes can occur at any age, but it most commonly begins in middle age or later. Signs and symptoms develop slowly over years. They include frequent urination (polyuria), excessive thirst (polydipsia), fatigue, blurred vision, tingling or loss of feeling in the hands and feet (diabetic neuropathy), sores that do not heal well, and weight loss. If blood sugar levels are not controlled through medication or diet, type 2 diabetes can cause long-lasting (chronic) health problems including heart disease and stroke; nerve damage; and damage to the kidneys, eyes, and other parts of the body.
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