E13.621: Other specified diabetes mellitus with foot ulcer
E13.621 is a billable, specific ICD-10-CM code for other specified diabetes mellitus with foot ulcer. It is valid for submission on a claim.
Check E13.621 with the rest of the claim: free scrubberUse additional code
Add a secondary code to capture the detail described below.
Excludes1 inherited from the categories above E13.621
A category’s note binds every code beneath it.
Written on E13: Other specified diabetes mellitus
- diabetes (mellitus) due to autoimmune process (E10.-)
- diabetes (mellitus) due to immune mediated pancreatic islet beta-cell destruction (E10.-)
- diabetes mellitus due to underlying condition (E08.-)
- drug or chemical induced diabetes mellitus (E09.-)
- gestational diabetes (O24.4-)
- neonatal diabetes mellitus (P70.2)
- type 1 diabetes mellitus (E10.-)
Other codes that can never be billed with E13.621
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
E13.621 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
E13.621 is named in 27 Medicare coverage policies: 27 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›specified type NEC›with›foot ulcer
Code history
Unchanged in every release from FY2024 to FY2027.