Wiki Gangrene and diabetic foot ulcer

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Code: E11.51

Code Name: ICD-10 Code for Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene

Block: Diabetes mellitus (E08-E13)

Details: Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
E11
Use additional code to identify control using:insulin (Z79.4)
oral antidiabetic drugs (Z79.84)
oral hypoglycemic drugs (Z79.84)

Includes: diabetes (mellitus) due to insulin secretory defect
diabetes NOS
insulin resistant diabetes (mellitus)

Excludes1: diabetes mellitus due to underlying condition (E08.-)
drug or chemical induced diabetes mellitus (E09.-)
gestational diabetes (O24.4-)
neonatal diabetes mellitus (P70.2)
postpancreatectomy diabetes mellitus (E13.-)
postprocedural diabetes mellitus (E13.-)
secondary diabetes mellitus NEC (E13.-)
type 1 diabetes mellitus (E10.-)

Guidelines: Endocrine, nutritional and metabolic diseases (E00-E89)

Excludes 1: transitory endocrine and metabolic disorders specific to newborn (P70-P74)

Note: All neoplasms, whether functionally active or not, are classified in Chapter 2. Appropriate codes in this chapter (i.e. E05.8, E07.0, E16-E31, E34.-) may be used as additional codes to indicate either functional activity by neoplasms and ectopic endocrine tissue or hyperfunction and hypofunction of endocrine glands associated with neoplasms and other conditions classified elsewhere.

For more details on E11.51, ICD-10 Code for Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene, visit: https://coder.aapc.com/icd-10-codes/E11.51

williafm

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Hi-
i just took a refresher course on icd 10 on aapc and one of the practice to be coded examples states pt was seen for a diabetic right great toe ulcer with gangrene, necrosis to the bone. The "correct" answer is
e11.621
i96
l97.514
why is i96 on there when the book states i96 excludes gangrene in diabetes mellitus? If the book states a problem is excluded from a code why does it have to be coded?
Thanks
 

mitchellde

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You are correct it is an exclude 1 exclusion and cannot be coded with the diabetes code. This will over ride the note at L97 to code first the I96. I would speak with whomever you took the class thru and point out that this is incorrect.
 

krg916

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Gangrene guidelenes

Could you pls shed some light on how this is coded? Any idea about wet gangrene??
 
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Diabetic foot ulcer with gangrene code sequencing.

Hi! On coding diabetic foot ulcer with gangrene, which code should be sequenced first?
DM gangrene has higher DRG when coded but there's a confusing statement on the coding handbook for DM complications that foot ulcer code should be assigned first with additional code for the ulcer site and, if gangrene is present, it should be assigned as an additional code. On tabular, DM gangrene and DM foot ulcer have separate codes. This patient had BKA procedure for the condition stated.
Thanks!
 

mitchellde

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The only diabetes code that states with gangrene is for peripheral angiopathy with gangrene. If the patient has this condition and the diabetic foot ulcers, then code both conditions and you may use the peripheral angiopathy with gangrene first listed. However if that is not the diagnosis and it states only dues ethic foot ulcers with gangrene, then you code the with foot ulcers code and add the L97 code that applies which will probably be the one that indicates with necrosis of muscle or necrosis of bone.
 
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The only diabetes code that states with gangrene is for peripheral angiopathy with gangrene. If the patient has this condition and the diabetic foot ulcers, then code both conditions and you may use the peripheral angiopathy with gangrene first listed. However if that is not the diagnosis and it states only dues ethic foot ulcers with gangrene, then you code the with foot ulcers code and add the L97 code that applies which will probably be the one that indicates with necrosis of muscle or necrosis of bone.
I do support the same, :confused: can't think of a better answer. I would first code E11.621, with L97.4_4
 
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