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Coding, Compliance, and Documentation for ... - Podiatry M

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 97597 and CPT 11042 should be used to represent the two different depths. If over 20 sq. cm. of tissue is removed at any depth, then an add-on code becomes ...

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