E13.621 vs L89
E13.621 (Other specified 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 E13.621: “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
| E13.621Other specified 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 | Other specified diabetes mellitus with foot ulcer is a billable ICD-10-CM diagnosis code (E13.621). | Pressure ulcer is a non-billable ICD-10-CM category code (L89). |
| Includes | diabetes mellitus due to genetic defects of beta-cell function diabetes mellitus due to genetic defects in insulin action postpancreatectomy diabetes mellitus postprocedural 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