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2017 | PODIATRY MANAGEMENT 71a diabetic, it is considered a diabetic foot ulcer, and therefore should be coded using an L97- code. This is true even if arterial disease and/or pressure played a role in the develop-ment of this coding After starting a code for a diabet-ic foot ulcer with L97-, we have to choose a 4th character of either 4 or 5 with the options being (non-pressure chronic ulcer of heel and midfoot) or (non-pressure chronic ulcer of other part of foot). The word and is in the description of the codes. This brings us to an important ICD-10 lesson and an-other example of it sometimes being its own language. Whenever the word and is used in ICD-10 code descriptions, it actually means and/or . Therefore, if you use an code, it does not imply that the pa-tient has two ulcers, one involving the heel and one involving the mid-foot.
NOVEMBER/DECEMBER 2017 | PODIATRY MANAGEMENT www.podiatrym.com 74 THE DIABETIC fOOT moved from one ulcer and 6 sq. cm. of subcutaneous tissue is removed from another ulcer, then both CPT
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