ICD-10 Coding for Type 2 Diabetes Mellitus with Foot Ulcer(E11.621)
Complete ICD-10-CM coding and documentation guide for Type 2 Diabetes Mellitus with Foot Ulcer. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Type 2 Diabetes Mellitus with Foot Ulcer
E11.6Primary Range
Type 2 diabetes mellitus with specified complications
This range includes codes for Type 2 diabetes with various complications, including foot ulcers.
Non-pressure chronic ulcer of lower limb, not elsewhere classified
This range is used for coding the specific details of the foot ulcer, such as location and depth.
Key Information: What is ICD-10 code E11.621?
Essential facts and insights about Type 2 Diabetes Mellitus with Foot Ulcer
Primary ICD-10-CM Code for .621
Decision Criteria
clinical Criteria
- Presence of a foot ulcer in a patient with Type 2 diabetes
documentation Criteria
- Detailed description of ulcer location, depth, and laterality
Applicable To
- Diabetic foot ulcer
Excludes
- Pressure ulcer (L89.-)
Clinical Validation Requirements
- HbA1c ≥6.5%
- Clinical documentation of foot ulcer linked to diabetes
Code-Specific Risks
- Incorrect sequencing with L97 codes
- Missing documentation of ulcer specifics
Coding Notes
- Ensure documentation specifies laterality, ulcer depth, and any necrosis.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Type 2 diabetes mellitus with other skin ulcer
E11.622Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Type 2 Diabetes Mellitus with Foot Ulcer to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E11.621.
Impact
Clinical: Inaccurate clinical records, Regulatory: Potential non-compliance with coding standards, Financial: Risk of claim denials
Mitigation Strategy
Always document whether the ulcer is on the left or right foot.
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Always specify ulcer location and depth using L97 codes.
Impact
Using unspecified codes for ulcer details increases audit risk.
Mitigation Strategy
Ensure detailed documentation of ulcer specifics.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Type 2 Diabetes Mellitus with Foot Ulcer, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Type 2 Diabetes Mellitus with Foot Ulcer
Use these documentation templates to ensure complete and accurate documentation for Type 2 Diabetes Mellitus with Foot Ulcer. These templates include all required elements for proper coding and billing.
Diabetic foot ulcer assessment
Specialty: PodiatryRequired Elements
- Type of diabetes
- Ulcer location and depth
- Presence of infection or necrosis
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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