Wiki Diabetes Coding- Please help

[KBean2018]

hello,

How would I code, pt has all of the below diabetes dx and I want to make I sure sequence correctly.
Diabetic right foot infection with gangrene s/p transmetatarsal amputation-intraoperative cultures yield GBS
*Diabetes mellitus, uncontrolled-A1c 13.1
*Diabetes mellitus with peripheral vascular disease
*Diabetes mellitus with chronic kidney disease

I cannot find dx for diabetic foot infection and pt does not have an ulcer, so e11.621 wouldn't work.

thanks in advance

 

[mitchellde]

It will depend on if the gangrene infection is a post op condition or was it the reason for the amputation. If the gangrene was the reason for the amputation, then is it still present? Is it a post operative complication?
Other wise diabetes with gangrene is not coded as E11.621.
You can find all of these by using the index and looking under diabetes type 2 then under the word with. You sequence first the one currently being treated or the one that was the most intensive. If the patient has a post op complication the you would sequence the T code for the complication first. If you posted more information it would help in order to give more clear instruction.