E11.622

Billable

Type 2 diabetes mellitus with other skin ulcer

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

What This Code Means

Type 2 diabetes causing open sores or wounds on areas of the body other than the foot.

Coding Tips

•Clearly document the anatomical location of the skin ulcer in the medical record
•Differentiate from foot ulcers (E11.621) by confirming the ulcer location is non-pedal

Clinical Significance

Type 2 diabetes mellitus with other skin ulcer captures diabetic ulcers occurring at anatomical sites other than the foot, including the legs, sacrum, or other body areas. These ulcers reflect the systemic nature of diabetic vascular and healing impairment, where poor circulation and elevated glucose levels compromise tissue integrity and wound repair throughout the body. Non-pedal ulcers in diabetic patients may be equally challenging to manage.

Documentation Requirements

✓The medical record must document a skin ulcer at a non-foot location in a Type 2 diabetic patient, establishing the relationship to diabetes.
✓The anatomical site, ulcer dimensions, depth, presence of infection, and wound characteristics must be recorded.
✓Additional L97 or L98 codes should be assigned for site specificity.
✓Wound care treatment plans and progress documentation are essential.

Use Additional Code

code to identify site of ulcer (L97.1-L97.9, L98.41-L98.49)

Commonly Confused Codes

E11.621 (foot ulcer) is specific to pedal location.E11.620 (diabetic dermatitis) involves inflammatory skin changes without open wounds.L89 series (pressure ulcers) have a mechanical pressure etiology distinct from diabetic ulcers.E11.628 (other skin complications) covers non-ulcerative skin conditions.

Code Hierarchy

└E11Type 2 diabetes mellitus └E11.6Type 2 diabetes mellitus with other specified complications └E11.62Type 2 diabetes mellitus with skin complications └E11.622Type 2 diabetes mellitus with other skin ulcer

└E11.622Type 2 diabetes mellitus with other skin ulcer