E11.621: Type 2 diabetes mellitus with foot ulcer
E11.621 is a billable, specific ICD-10-CM code for type 2 diabetes mellitus with foot ulcer. It is valid for submission on a claim.
Check E11.621 with the rest of the claim: free scrubberUse additional code
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Excludes1 inherited from the categories above E11.621
A category’s note binds every code beneath it.
Written on E11: Type 2 diabetes mellitus
- diabetes mellitus due to underlying condition (E08.-)
- drug or chemical induced diabetes mellitus (E09.-)
- gestational diabetes (O24.4-)
- neonatal diabetes mellitus (P70.2)
- postpancreatectomy diabetes mellitus (E13.-)
- postprocedural diabetes mellitus (E13.-)
- secondary diabetes mellitus NEC (E13.-)
- type 1 diabetes mellitus (E10.-)
Other codes that can never be billed with E11.621
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
E11.621 risk-adjusts. Under the CMS-HCC V28 model it maps to these categories:
- HCC 37 Diabetes with Chronic Complications0.166 RAF
- HCC 383 Chronic Ulcer of Skin, Except Pressure, Not Specified as Through to Bone or Muscle0.646 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
E11.621 is named in 35 Medicare coverage policies: 35 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52464Glucose Monitor - Policy Article
- A52501Therapeutic Shoes for Persons with Diabetes - Policy Article
- A52507External Infusion Pumps - Policy Article
- A52996Billing and Coding: Routine Foot Care
Alphabetic index entries that lead here
- Diabetes, diabetic›with›foot ulcer
- Diabetes, diabetic›type 2›with›foot ulcer
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.