E08.51: Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy without gangrene

E08.51, diabetes mellitus due to underlying condition with diabetic peripheral angiopathy without gangrene, is listed as a covered diagnosis in 13 Medicare billing and coding articles that apply to 131 HCPCS Level II codes, including G0127 (Trimming of dystrophic nails, any number), E2103 (Non-adjunctive, non-implanted continuous glucose monitor…), A4239 (Supply allowance for non-adjunctive, non-implanted…). 54 of these codes have a 2026 DMEPOS fee schedule amount; E2103 pays $256.09 to $334.44 (NU) depending on the state. The articles come from 6 Medicare contractors. A listed diagnosis supports medical necessity only; coverage still depends on the LCD's criteria and on documentation in the medical record.

HCPCS Level II codes with E08.51 as a covered diagnosis

CodeDescriptionMedicare coverageDMEPOS fee 2026 (state range)Articles listing it
G0127Trimming of dystrophic nails, any numberSpecial coverage instructions apply—6
E2103Non-adjunctive, non-implanted continuous glucose monitor or receiverCarrier judgment$256.09–$334.44 (NU)2
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (CGM), includes all supplies and accessories, 1 month supply = 1 unit of serviceCarrier judgment$273.282
A4238Supply allowance for adjunctive, non-implanted continuous glucose monitor (CGM), includes all supplies and accessories, 1 month supply = 1 unit of serviceCarrier judgment$280.71 (KF)2
E2102Adjunctive, non-implanted continuous glucose monitor or receiverCarrier judgment$189.08–$239.22 (NU)2
E1399Durable medical equipment, miscellaneousCarrier judgment—2
A9999Miscellaneous dme supply or accessory, not otherwise specifiedCarrier judgment—2
C8900Magnetic resonance angiography with contrast, abdomenSpecial coverage instructions apply—2
C8901Magnetic resonance angiography without contrast, abdomenSpecial coverage instructions apply—2
C8902Magnetic resonance angiography without contrast followed by with contrast, abdomenSpecial coverage instructions apply—2
C8909Magnetic resonance angiography with contrast, chest (excluding myocardium)Special coverage instructions apply—2
C8910Magnetic resonance angiography without contrast, chest (excluding myocardium)Special coverage instructions apply—2
C8911Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium)Special coverage instructions apply—2
C8912Magnetic resonance angiography with contrast, lower extremitySpecial coverage instructions apply—2
C8913Magnetic resonance angiography without contrast, lower extremitySpecial coverage instructions apply—2
C8914Magnetic resonance angiography without contrast followed by with contrast, lower extremitySpecial coverage instructions apply—2
C8918Magnetic resonance angiography with contrast, pelvisSpecial coverage instructions apply—2
C8919Magnetic resonance angiography without contrast, pelvisSpecial coverage instructions apply—2
C8920Magnetic resonance angiography without contrast followed by with contrast, pelvisSpecial coverage instructions apply—2
M1211Most recent glycemic status assessment (hba1c or gmi) level > 9.0%Carrier judgment—1
L5000Partial foot, shoe insert with longitudinal arch, toe fillerSpecial coverage instructions apply$618.56–$999.361
A5501For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoeSpecial coverage instructions apply$271.801
L3224Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis)Special coverage instructions apply$67.57–$152.321
L3225Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis)Special coverage instructions apply$77.73–$140.821
A5500For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoeSpecial coverage instructions apply$90.631

106 more codes are listed. See every code with payment by region in Caduvo.

Medicare policy articles listing E08.51

A diagnosis listed as covered in a billing and coding article supports medical necessity for the article's codes; it does not guarantee payment. Coverage depends on the LCD's criteria, the contractor's jurisdiction and documentation in the medical record.

Other E08 diagnoses (Diabetes mellitus due to underlying condition)

Frequently asked questions

Does Medicare cover E08.51 (Diabetes mellitus due to underlying condition with…)?

Medicare covers items and services, not diagnoses. 13 Medicare billing and coding articles list E08.51 as a covered diagnosis for 131 HCPCS Level II codes: the diagnosis can support medical necessity for those codes, but payment still depends on the LCD's coverage criteria and the medical record.

Which HCPCS codes can be billed with ICD-10 E08.51?

The Level II codes from the policies most specific to this diagnosis are G0127 (Trimming of dystrophic nails, any number, 6 articles); E2103 (Non-adjunctive, non-implanted continuous glucose monitor…, 2 articles); A4239 (Supply allowance for non-adjunctive, non-implanted…, 2 articles); A4238 (Supply allowance for adjunctive, non-implanted continuous…, 2 articles); E2102 (Adjunctive, non-implanted continuous glucose monitor or…, 2 articles). Code choice depends on the item supplied; check each code's descriptor.

What does Medicare pay for equipment billed with E08.51?

Under the 2026 DMEPOS fee schedule (non-rural state fees): E2103 $256.09 to $334.44 (NU); A4239 $273.28; A4238 $280.71 (KF); E2102 $189.08 to $239.22 (NU). Medicare pays 80% of the allowed amount after the Part B deductible.

Which Medicare policy articles list E08.51?

A57759 (Billing and Coding: Routine Foot Care and Debridement of Nails); A56686 (Billing and Coding: HbA1c); A52501 (Therapeutic Shoes for Persons with Diabetes - Policy Article), and 10 more articles.

What is ICD-10-CM code E08.51?

E08.51 is the ICD-10-CM code for diabetes mellitus due to underlying condition with diabetic peripheral angiopathy without gangrene, in category E08 (Diabetes mellitus due to underlying condition), chapter 4: Endocrine, nutritional and metabolic diseases.

Next steps

Sources: CMS Medicare Coverage Database billing and coding articles (covered ICD-10 code lists and HCPCS links); ICD-10-CM FY2026; CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026 (non-rural state fees). Not billing or legal advice.

Chapter 4: Endocrine, nutritional and metabolic diseases · All diagnoses · HCPCS lookup