Type 2 diabetes mellitus with foot ulcer
ICD-10 E11.621 is a billable code used to indicate a diagnosis of type 2 diabetes mellitus with foot ulcer.
Type 2 diabetes mellitus is a chronic condition characterized by insulin resistance and relative insulin deficiency. It is often associated with various complications, including neuropathy, nephropathy, retinopathy, and cardiovascular diseases. One of the significant complications of diabetes is the development of foot ulcers, which can arise due to poor circulation, neuropathy, and impaired wound healing. Foot ulcers in diabetic patients can lead to severe infections, gangrene, and even amputations if not managed properly. The presence of a foot ulcer indicates a need for comprehensive management, including glycemic control, regular foot examinations, and appropriate wound care. The management of diabetes involves monitoring HbA1c levels, which reflect average blood glucose levels over the past two to three months. An HbA1c level of 7% or lower is generally recommended for most adults with diabetes to reduce the risk of complications. Insulin therapy may be required for some patients, particularly those who cannot achieve adequate glycemic control with oral medications alone. Proper documentation of the patient's diabetes management, including HbA1c levels and the status of foot ulcers, is crucial for accurate coding and reimbursement.
Detailed records of diabetes management, including medication adjustments and HbA1c levels.
Patients with poorly controlled diabetes presenting with foot ulcers.
Ensure comprehensive documentation of diabetes management and any referrals to wound care specialists.
Thorough documentation of foot examinations, ulcer characteristics, and treatment plans.
Patients with diabetic foot ulcers requiring debridement or advanced wound care.
Document the extent of ulceration and any underlying neuropathy or vascular issues.
Used when performing debridement on a diabetic foot ulcer.
Document the extent of debridement and the condition of the ulcer.
Podiatrists should ensure that the procedure is linked to the diabetic condition.
Documenting HbA1c levels is crucial as it reflects the patient's overall glycemic control, which directly impacts the management of diabetic complications, including foot ulcers.
