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E10.621

Billable

Type 1 diabetes mellitus with foot ulcer

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Type 1 diabetes with an open sore or ulcer on the foot caused by diabetes, which can be difficult to heal due to poor circulation and nerve damage.

Coding Tips

  • Foot ulcers are a serious complication; document location, depth, and whether it involves bone or deeper structures
  • Coordinate with wound care codes and monitor for infection or gangrene development

Clinical Significance

Type 1 diabetes mellitus with foot ulcer is a serious complication reflecting the convergence of peripheral neuropathy, peripheral vascular disease, and impaired immune function. Diabetic foot ulcers are the leading cause of non-traumatic lower extremity amputations and represent a significant source of morbidity, hospitalization, and healthcare costs. These ulcers require multidisciplinary management including wound care, offloading, vascular assessment, and glycemic optimization.

Documentation Requirements

  • Documentation must specify the presence of a foot ulcer in a patient with Type 1 diabetes.
  • The provider should record the ulcer location, size, depth (using the Wagner or University of Texas classification), presence of infection, and exposed structures.
  • An additional code from L97 should be assigned to specify the ulcer site and severity.
  • Vascular status and neuropathy assessment should be documented.

Use Additional Code

Commonly Confused Codes

Code Hierarchy

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