2026 ICD-10-CM Diagnosis Code E11.621Type 2 diabetes mellitus with foot ulcer
ICD-10-CM Codes›E00–E89›E08-E13›E11
- Billable — Valid for Submission
- Chronic Condition
E11.621 is a billable ICD-10-CM diagnosis code for type 2 diabetes mellitus with foot ulcer. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 637 through 639. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Diabetes mellitus with complication; Diabetes mellitus, Type 2; and Pressure ulcer of skin.
This medical diagnosis code is frequently used in Family Practice medical specialties to designate conditions such diabetes mellitus with complications type 2.
Code Identity
Code Classification
Quality Payment Program MeasuresBilling
Medicare quality measures that can apply when E11.621 is part of the patient record.
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
High Priority: YES
Measure Type: Intermediateoutcome
Submission Methods: Claims, Electronic Health Record, Cms Web Interface, Registry
Description: Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Chronic neurogenic ulcer of lower limb
- Chronic ulcer of left foot
- Chronic ulcer of left foot due to diabetes mellitus
- Chronic ulcer of right foot
- Chronic ulcer of right foot due to diabetes mellitus
- Diabetic foot
- Foot 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 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
- 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 due to diabetes mellitus
- Ulcer of heel due to type 2 diabetes mellitus
- Ulcer of left foot due to diabetes mellitus
- Ulcer of left foot due to type 2 diabetes mellitus
- Ulcer of midfoot due to diabetes mellitus
- Ulcer of right foot due to diabetes mellitus
- Ulcer of right foot due to type 2 diabetes mellitus
- Ulcer of toe due to type 2 diabetes mellitus
Coding GuidelinesGuidance
The diabetes mellitus codes are combination codes that include the type of diabetes mellitus, the body system affected, and the complications affecting that body system. As many codes within a particular category as are necessary to describe all of the complications of the disease may be used. They should be sequenced based on the reason for a particular encounter. Assign as many codes from categories E08 - E13 as needed to identify all of the associated conditions that the patient has.
If the type of diabetes mellitus is not documented in the medical record the default is E11.-, Type 2 diabetes mellitus.
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this 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 InjuriesGuidance
Alphabetical index entries that point to this code.
- Diabetes, diabetic (mellitus) (sugar) - E11.9
- with
- foot ulcer - E11.621
- with
- foot ulcer - E11.621
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Diabetes, diabetic(mellitus) (sugar)
- with
- foot ulcer
- Diabetes, diabetic(mellitus) (sugar)
- type 2
- with
- foot ulcer
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Diabetic Foot
common foot problems in persons with diabetes mellitus, caused by any combination of factors such as diabetic neuropathies; peripheral vascular diseases; and infection. with the loss of sensation and poor circulation, injuries and infections often lead to severe foot ulceration, gangrene and amputation, surgical.
Patient EducationClinical
Diabetes Type 2
Type 2 diabetes is a disease in which your blood glucose, or blood sugar, levels are too high. Glucose is your main source of energy. It comes from the foods you eat. A hormone called insulin helps the glucose get into your cells to give them energy. If you have diabetes, your body doesn't make enough insulin or doesn't use insulin well.
The full article covers:
- What is type 2 diabetes?
- What causes type 2 diabetes?
- Who is at risk for type 2 diabetes?
- What are the symptoms of type 2 diabetes?
- How is type 2 diabetes diagnosed?
- What are the treatments for type 2 diabetes?
- Can type 2 diabetes be prevented?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert E11.621 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About E11.621Overview
Is E11.621 (Type 2 diabetes mellitus with skin complications) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report type 2 diabetes mellitus with foot ulcer on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does E11.621 group to?
When type 2 diabetes mellitus with foot ulcer is the principal diagnosis on an inpatient stay, it groups to MS-DRG 637, 638, 639, with relative weights from 0.6212 to 1.4367 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of E11.621?
Under the General Equivalence Mappings, type 2 diabetes mellitus with foot ulcer converts to ICD-9-CM 250.80 (DMII oth nt st uncntrld). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:
- The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
- The condition places limitations on self-care, independent living, and social interactions.
