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ICD-10 Guide
ICD-10 CodesE11.622

E11.622

Billable

Type 2 diabetes mellitus with other skin ulcer

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 E11.622 is a billable code used to indicate a diagnosis of type 2 diabetes mellitus with other skin ulcer.

Key Diagnostic Point:

E11.622 refers to a specific complication of Type 2 diabetes mellitus characterized by the presence of skin ulcers that are not classified as diabetic foot ulcers. Patients with Type 2 diabetes are at increased risk for various skin conditions due to poor circulation, neuropathy, and impaired wound healing. Skin ulcers can arise from multiple factors, including pressure, friction, and underlying vascular issues. The management of these ulcers is critical, as they can lead to serious infections and further complications if not treated properly. Effective management often involves controlling blood glucose levels, which can be assessed through HbA1c levels, and may require interventions such as debridement, topical treatments, and possibly surgical options. Insulin management is also crucial, as maintaining optimal glucose levels can significantly improve healing outcomes. Regular monitoring and patient education on skin care are essential components of treatment to prevent the recurrence of ulcers.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of skin ulcers
  • Understanding the relationship between diabetes control and ulcer healing
  • Documenting the severity and location of the ulcer
  • Co-morbid conditions that may complicate treatment

Audit Risk Factors

  • Inadequate documentation of ulcer characteristics
  • Failure to link the ulcer to diabetes management
  • Lack of evidence for treatment provided
  • Inconsistent HbA1c levels reported

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed records of diabetes management, including HbA1c levels and treatment plans.

Common Clinical Scenarios

Patients presenting with uncontrolled diabetes and skin ulcers requiring management.

Billing Considerations

Endocrinologists must ensure that diabetes management is optimized to facilitate healing of skin ulcers.

Dermatology

Documentation Requirements

Comprehensive assessment of skin ulcers, including size, depth, and signs of infection.

Common Clinical Scenarios

Patients with chronic skin ulcers related to diabetes requiring specialized wound care.

Billing Considerations

Dermatologists should document the specific type of ulcer and any interventions performed.

Coding Guidelines

Inclusion Criteria

Use E11.622 When
  • According to ICD
  • 10 guidelines, E11
  • 622 should be used when a patient with Type 2 diabetes has a skin ulcer that is not classified as a diabetic foot ulcer
  • Documentation must clearly indicate the relationship between the diabetes and the ulcer, including any relevant treatment details

Exclusion Criteria

Do NOT use E11.622 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

97597CPT Code

Debridement of wound, open, excisional

Clinical Scenario

Used when a patient with E11.622 requires surgical intervention for ulcer management.

Documentation Requirements

Document the extent of debridement and the condition of the ulcer.

Specialty Considerations

Ensure that the procedure is linked to the diagnosis of E11.622.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of diabetes-related complications, such as E11.622, which helps in better tracking and management of these conditions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of diabetes-related complications, such as E11.622, which helps in better tracking and management of these conditions.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    American Diabetes Association

Coding & Billing References

  • •
    American Diabetes Association

Frequently Asked Questions

What is the significance of HbA1c levels in managing E11.622?

HbA1c levels are crucial in managing E11.622 as they reflect the patient's overall blood glucose control, which directly impacts the healing of skin ulcers. Higher HbA1c levels can indicate poor diabetes management, leading to delayed healing and increased risk of complications.