diabetic pressure ulcer

BrendaBrenda
edited April 2017 in Home Care Coding General
Documentation states patient has a stage 3 diabetic pressure ulcer left foot. If I code the E11.621 there is a note that says I need to add an L97 code, but the pressure ulcer is l89 code. has anyone else had this issue and what should I assign?

Brenda Hoss
Coder

Comments

  • BrendaBrenda
    edited April 2017
    Re-sending....

    Brenda Hoss
    Coder
  • jamie.seghers@amedisys.comjamie.seghers@amedisys.com
    edited April 2017
    Pressure ulcers are due to pressure not diabetes. The healing would be complicated by the diabetes. If MD documents it as a pressure ulcer code the L89.

    Thanks,
    Jamie Seghers, HCS-D, BCHH-C, COS-C, ICD-10-CM Certified Trainer
    Medical Coding Manager
    Office Phone: 844-839-0061
    Cisco ext. 5040
    Fax: 877-751-5987
  • BrendaBrenda
    edited April 2017
    He documents "diabetic pressure ulcer left foot stage 3"


    Brenda Hoss
    Coder
  • judyadamsjudyadams
    edited April 2017
    Diabetic ulcers are not staged, only pressure ulcers are staged. Also as
    Jamie said diabetes does not cause pressure ulcers, You can query the
    physician to decide if the ulcer is a pressure ulcer or a diabetic ulcer.
    It cannot be both, although it can be a pressure ulcer with diabetes as a
    co-morbidity that will impact the healing.

    Judy

    Judy Adams, RN, BSN, HCS-D, HCS-O

    Adams Home Care Consulting, Inc.
    97 Perriwinkle Place
    Durham, NC 27713
    office Phone: 919/294-6674
    Email: jradams31@gmail.com
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