ICD-10-CM Billable Code

E11.628

Type 2 diabetes mellitus with other skin complications

Clinical Classification Guidelines

Medical Intelligence & Overview

Type 2 diabetes mellitus is a common condition characterized by elevated blood sugar levels due to the body's ineffective use of insulin. When this condition is accompanied by skin-related issues, it is classified under ICD-10 code E11.628. These skin complications can significantly impact a person's quality of life, making awareness and management important. This article provides a patient-friendly overview of this condition, including causes, symptoms, diagnosis, and treatment options.

Causes & Symptoms

Clinical Causes: Chronic high blood sugar levels leading to skin changes Poor circulation resulting from diabetes-related vascular damage Nerve damage (neuropathy) affecting skin health Compromised immune function increasing susceptibility to skin infections Skin dryness and decreased healing capacity due to metabolic disturbances

Key Symptoms: Persistent skin infections such as cellulitis or folliculitis Itchy, dry, or cracked skin Hyperpigmentation or dark patches on the skin Slow healing of cuts, wounds, or sores Skin ulcers or open sores, especially on the lower extremities Presence of pustules or abscesses

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves reviewing the patient's medical history, conducting a physical examination, and possibly performing skin biopsies or laboratory tests to identify specific skin conditions. Blood tests are also utilized to monitor blood glucose levels and assess overall diabetic control. The healthcare provider considers skin presentation in conjunction with diabetes management to determine the extent and nature of skin complications.

Treatment Protocols: Managing skin complications in diabetes involves a combination of strategies aimed at controlling blood sugar levels and addressing specific skin issues. These include: - Tight glycemic control through medication, diet, and lifestyle changes - Proper skin hygiene, including gentle cleansing and moisturizing - Prompt treatment of skin infections with appropriate medications - Wound care, including cleaning and dressing of ulcers - Avoiding skin trauma and protective measures to prevent injury - Regular follow-up with healthcare professionals to monitor skin health and diabetic control In some cases, specialized treatments such as topical corticosteroids or antibiotics may be prescribed. Managing other underlying health conditions is also crucial in preventing further skin complications.

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is E11.628 a billable ICD-10 code?
Yes, E11.628 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report E11.628?
Clinical documentation must specify the nature of Type 2 diabetes mellitus with other skin complications and any associated comorbidities for accurate reporting.

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