Results 1 to 4 of 4

Need help coding...

  1. #1
    Default Need help coding...
    Exam Training Packages
    Left great toe ischemia s/p amputation
    ESRD on peritoneal dialysis
    DM 2

    Thank you.

  2. #2
    Hartford, CT
    Need more info, s/p amputation of the toe? When was it amputed? Are the ischemia, PVD or ESRD complications of the DM?

    Doreen, CPC

  3. #3
    Default Help coding
    Quote Originally Posted by dclark7 View Post
    Need more info, s/p amputation of the toe? When was it amputed? Are the ischemia, PVD or ESRD complications of the DM?

    Doreen, CPC

    Hi Doreen -

    The amputation was done 2/19/09, original DOS 2/17/09. Here's a quote from the chart -- "The ischemic toe is a combination of peripheral vascular disease as well as neuropathic disease".

    I apologize for not including that in the beginning.

  4. #4
    Hartford, CT
    If these conditions are complications of the diabetes you could code this as 250.72 (diabetes type 2 w/peripheral circulatory manifestations), 443.81 (peripheral angiopathy in diseases classified elsewhere), 250.42 (diabetes with renal manifestations), 585.6 (end stage renal disease, because of the dialysis). If they are not diabetic complications you could use 443.9 (unspecified PVD), 585.6, and 250.00. Your best bet would be to query the doctor and find out if these are complications or not, you could also ask him if code 440.24 (atherosclerosis of extremities with gangrene) would be appropriate for the ischemic toe. Hope tis helps a liitle or at least points you in the right direction.

    Doreen, CPC

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.