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E10.620

Billable

Type 1 diabetes mellitus with diabetic dermatitis

HCC Category Mapping

V28HCC 37Diabetes with Chronic Complications
0.245
V24HCC 18Diabetes with Chronic Complications
0.302
ESRDHCC 18Diabetes with Chronic Complications
0.000
RxHCCHCC 30Diabetes with Complications
0.000

What This Code Means

Type 1 diabetes with diabetic dermatitis, an inflammatory skin condition caused by diabetes affecting the skin's integrity.

Coding Tips

  • Distinguish dermatitis from other skin complications like ulcers; dermatitis involves inflammation without necessarily breaking the skin
  • Document the location and severity of the dermatitis

Clinical Significance

Diabetic dermatitis in Type 1 diabetes mellitus represents inflammatory skin changes directly attributable to diabetes, including conditions such as necrobiosis lipoidica diabeticorum, diabetic dermopathy, or granuloma annulare. These skin manifestations can indicate poor glycemic control and systemic microvascular involvement. While often less severe than ulcerative complications, they signal ongoing tissue damage requiring dermatological management.

Documentation Requirements

  • Documentation must identify the specific dermatitis condition and establish its causal relationship to Type 1 diabetes.
  • The provider should record the location, appearance, extent, and any associated symptoms.
  • Biopsy results, if obtained, should be included.
  • The record must distinguish dermatitis (inflammatory skin changes) from skin ulceration, which uses different codes.

Commonly Confused Codes

Code Hierarchy

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