E11.622 Type 2 diabetes mellitus with other skin ulcer

ICD10CM code

#### Name of the Condition
- **Type 2 Diabetes Mellitus with Other Skin Ulcer**
- Also known as "Diabetic Skin Ulcers" associated with Type 2 Diabetes.

#### Summary
Type 2 diabetes mellitus with other skin ulcer refers to a chronic condition where elevated blood glucose levels lead to the development of ulcers on the skin, particularly in areas with poor circulation. These ulcers are often slow to heal and require careful medical attention to prevent infection and other complications.

#### Causes
The primary cause is poorly managed type 2 diabetes, which can lead to neuropathy, poor circulation, and the body's diminished capacity to heal wounds. This makes the skin more susceptible to ulcers, especially in the lower extremities.

#### Risk Factors
- Prolonged high blood sugar levels
- Obesity
- Sedentary lifestyle
- Poor diet
- Smoking
- Advanced age
- Previous history of foot ulcers

#### Symptoms
- Non-healing wounds or lesions on the skin, typically on the feet
- Possible presence of pus or discharge
- Redness and swelling around the affected area
- Pain or tenderness, sometimes diminished due to neuropathy

#### Diagnosis
- Physical examination of the ulcer
- Blood tests to assess blood glucose levels
- Doppler ultrasound to evaluate blood flow in affected areas
- Wound culture may be obtained to check for infection

#### Treatment Options
- Control of blood sugar levels through medication or insulin therapy
- Application of topical antibiotics if infection is present
- Debridement to remove dead tissue
- Use of special dressings to promote healing
- Hyperbaric oxygen therapy in severe cases

#### Prognosis and Follow-Up
With proper management, prognosis can be positive, yet frequent follow-up with healthcare providers is crucial. Regular monitoring of blood glucose and wound inspection are vital to preventing complications.

#### Complications
- Infection spreading to deeper tissues or bone (osteomyelitis)
- Gangrene
- Amputation if severe damage occurs
- Septicemia if infections become systemic

#### Lifestyle & Prevention
- Maintain blood glucose levels within a target range
- Adopting a balanced diet and regular exercise routine
- Regular foot care and inspection
- Avoid smoking
- Proper footwear to prevent foot injuries

#### When to Seek Professional Help
- Ulcers that do not show signs of improvement
- Increased redness, swelling, or warmth around the ulcer
- Unexpected fever, indicating possible infection
- Any new symptoms of severe pain or changes in wound appearance

#### Additional Resources
- [American Diabetes Association](https://www.diabetes.org)
- [International Diabetes Federation](https://www.idf.org)
- Local diabetes support groups for patient interaction

#### Tips for Medical Coders
- Ensure specificity in coding by verifying the presence of both type 2 diabetes and the skin ulcer.
- Avoid confusion with similar ICD codes for other diabetic complications.
- Watch for additional codes required for associated infections or complications.

Medical Policies and Guidelines for Type 2 diabetes mellitus with other skin ulcer

Related policies from health plans

Similar Codes