toe gangrene and Dm

danielle.stevens@essentiahealth.orgdanielle.stevens@essentiahealth.org
in Home Care Coding General
If pt has toe gangrene and dm can you code to e11.52 or does the md have to specify relationship

Danie Stevens
Home Health Coder, RHIT
Essentia Health St. Mary's
114 Frazee Street East Detroit Lakes, MN 56501
218-314-7857
Danielle.Stevens@essentiahealth.org

Comments

  • danielle.stevens@essentiahealth.orgdanielle.stevens@essentiahealth.org
    edited April 2017
    Lisa, d/s states infected foot wound S/P amputation. Pt did not go home on antibx. But op report states gangrene and DM foot infection, left foot.
  • danielle.stevens@essentiahealth.orgdanielle.stevens@essentiahealth.org
    edited April 2017
    Would e11.52 cover the infection or how in the world do I code that ive been going in circles because the infection is unidentified.
  • danielle.stevens@essentiahealth.orgdanielle.stevens@essentiahealth.org
    edited April 2017
    Shes out this week haha! I think infection might be coded separate considering gangrene is cutting off blood supply and can cause infection but idk! I think I may use L08.9. thanks for your help!!!
  • Unknown
    edited April 2017
    Hi,
    Per Mayo Clinic:
    "Gangrene refers to the death of body tissue due to a lack of blood flow or a bacterial infection."
    If no specific infection is stated I do not recommend coding a separate infection code since the gangrene encompasses it. Now if you knew the causative organism then I would code the appropriate A or B code to go along with it, but since you don't the DM w/ gangrene should suffice. Hope this helps.

    Regards,


    Jennifer Smith, RHIT, CCA, BCHH-C ICD-10, HCS-O
    Quality Assurance Coding Reviewer
    13801 Reese Blvd W | Suite 160 | Huntersville, NC 28078
    OFFICE: (361) 500-2348
    jennifer.smith@transpirus.com
    Transpirus.com
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