ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesE11.628

E11.628

Billable

Type 2 diabetes mellitus with other skin complications

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

Code Description

ICD-10 E11.628 is a billable code used to indicate a diagnosis of type 2 diabetes mellitus with other skin complications.

Key Diagnostic Point:

Type 2 diabetes mellitus is a chronic condition characterized by insulin resistance and relative insulin deficiency. Patients with this condition often experience various complications, including skin issues such as diabetic dermopathy, necrobiosis lipoidica, and infections. These skin complications can arise due to poor glycemic control, leading to impaired wound healing and increased susceptibility to infections. The presence of skin complications in patients with type 2 diabetes can significantly impact their quality of life and may indicate the need for more aggressive management of their diabetes. Regular monitoring of HbA1c levels is crucial, as elevated levels can exacerbate skin issues. Insulin management may be necessary for some patients, especially those who cannot achieve glycemic control through oral medications alone. Understanding the interplay between diabetes management and skin complications is essential for effective treatment and coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of skin complications associated with diabetes
  • Need for precise documentation of skin conditions
  • Differentiation from other diabetes-related codes
  • Potential for multiple co-existing conditions

Audit Risk Factors

  • Inadequate documentation of skin complications
  • Failure to link skin complications to diabetes management
  • Misclassification of skin conditions
  • Lack of evidence for HbA1c levels in documentation

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 infections.

Billing Considerations

Ensure documentation reflects the relationship between diabetes control and skin complications.

Dermatology

Documentation Requirements

Thorough descriptions of skin lesions and their relation to diabetes.

Common Clinical Scenarios

Patients with diabetic dermopathy or necrobiosis lipoidica.

Billing Considerations

Document the duration and treatment of skin conditions to support coding.

Coding Guidelines

Inclusion Criteria

Use E11.628 When
  • According to ICD
  • 10 guidelines, E11
  • 628 should be used when a patient with type 2 diabetes has specific skin complications that are not classified elsewhere
  • Coders must ensure that the documentation supports the diagnosis and that the skin complications are directly related to the diabetes

Exclusion Criteria

Do NOT use E11.628 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits for diabetes management with skin complications.

Documentation Requirements

Document the patient's diabetes management plan and any skin issues.

Specialty Considerations

Endocrinologists should ensure comprehensive diabetes management is documented.

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, improving the accuracy of patient records and facilitating better management of diabetes and its complications.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of diabetes-related complications, improving the accuracy of patient records and facilitating better management of diabetes and its complications.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of diabetes-related complications, improving the accuracy of patient records and facilitating better management of diabetes and its complications.

Resources

Clinical References

  • •
    American Diabetes Association

Coding & Billing References

  • •
    American Diabetes Association

Frequently Asked Questions

What are the common skin complications associated with type 2 diabetes?

Common skin complications include diabetic dermopathy, necrobiosis lipoidica, and skin infections. These conditions can arise due to poor glycemic control and require careful management.