E11.621 vs L89
E11.621 (Type 2 diabetes mellitus with foot ulcer) compared with L89 (Pressure ulcer), 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 carries an Excludes2 note covering E11.621: “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
| E11.621Type 2 diabetes mellitus with foot ulcer | L89Pressure ulcer | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| Classification | E00-E89 — Endocrine, Nutritional and Metabolic Diseases (E00-E89) | L00-L99 — Diseases of the Skin and Subcutaneous Tissue (L00-L99) |
| Definition | Type 2 diabetes mellitus with foot ulcer is a billable ICD-10-CM diagnosis code (E11.621). | Pressure ulcer is a non-billable ICD-10-CM category code (L89). |
| Includes | diabetes (mellitus) due to insulin secretory defect diabetes NOS insulin resistant diabetes (mellitus) | bed sore decubitus ulcer plaster ulcer pressure area |
| Use additional code | code to identify site of ulcer (L97.4-, L97.5-) code to identify control using: injectable non-insulin antidiabetic drugs (Z79.85) | — |
| Code first | — | 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