E09.621 vs L89.896
E09.621 (Drug or chemical induced diabetes mellitus with foot ulcer) compared with L89.896 (Pressure-induced deep tissue damage of other site), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. L89.896 carries an Excludes2 note covering E09.621: “diabetic ulcers (E08.621, E08.622, E09.621, E09.622, E10.621, E10.622, E11.621, E11.622, E13.621, E13.622)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| E09.621Drug or chemical induced diabetes mellitus with foot ulcer | L89.896Pressure-induced deep tissue damage of other site | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | E00-E89 — Endocrine, Nutritional and Metabolic Diseases (E00-E89) | L00-L99 — Diseases of the Skin and Subcutaneous Tissue (L00-L99) |
| Definition | Drug or chemical induced diabetes mellitus with foot ulcer is a billable ICD-10-CM diagnosis code (E09.621). | Pressure-induced deep tissue damage of other site is a billable ICD-10-CM diagnosis code (L89.896). |
| Includes | — | bed sore decubitus ulcer plaster ulcer pressure area |
| Use additional code | code to identify site of ulcer (L97.4-, L97.5-) code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5) code to identify control using: | — |
| Code first | poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4) | any associated gangrene (I96) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources