non-pressure ulcer

solocoder

Expert
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Marshfield, MO
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Since Medicare (and advantage plans) will not accept "unspecified severity" codes for non-pressure ulcers, and there are no "unstageable" codes for non-pressure ulcers, can anyone give me some advice on how I can code this:

A diabetic ulcer is is noted 3 cm x 2 cm on the lateral aspect of the left 5th metatarso-phalangeal joint, completely covered with dry eschar, therefore, unstageable.*
 

mitchellde

True Blue
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13,538
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Columbia, MO
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You will need to chose the unspecified and appeal it if denied. This is a scenario where the documentation will support the unspecified option since there is no way for the provider to know the actual depth.
 
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