Wound Care & Medicare

[Guest guest]

Does anyone have a good Diagnosis Code for Diabetic Ulcer that will cover

wound care? We are treating our patient for an ulcer on his ankle and are

perfoming wound care and debridement for him. Medicare has denied

everything for him. I would appreciate any help that is offered regarding a

payable DX code that works with wound care.

Thank you

Valley Rehabilitation

[Guest guest]

Dianne,

Have you tried using a series of codes to describe? You state the underlying

disease process is diabetes, but is the sore relative to pressure, trauma or

ischemic changes? Use diabetes with complication codes (i.e. 250.6 diabetes

with neurological manifestations, 250.7 DM with peripheral circulatory

disorders, 250.8 DM with other specific manifestations). Further explain by

using a 707.1 (ulcer of lower limb, except decubitus) code i.e. 707.13 ulcer of

ankle or if the sore is due to pressure, a 707.0 code i.e. 707.06 pressure sore

ankle. If the wound is the result of a traumatic accident, you may want to use

one of the open wound i.e. 891 codes, however use of these codes requires an

explanatory E code to describe the precipitating event i.e.E888.1, fall striking

against object.

Jimmie

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[Guest guest]

Dianne,

Have you tried using a series of codes to describe? You state the underlying

disease process is diabetes, but is the sore relative to pressure, trauma or

ischemic changes? Use diabetes with complication codes (i.e. 250.6 diabetes

with neurological manifestations, 250.7 DM with peripheral circulatory

disorders, 250.8 DM with other specific manifestations). Further explain by

using a 707.1 (ulcer of lower limb, except decubitus) code i.e. 707.13 ulcer of

ankle or if the sore is due to pressure, a 707.0 code i.e. 707.06 pressure sore

ankle. If the wound is the result of a traumatic accident, you may want to use

one of the open wound i.e. 891 codes, however use of these codes requires an

explanatory E code to describe the precipitating event i.e.E888.1, fall striking

against object.

Jimmie

*** NOTICE--The attached communication contains privileged and confidential

information. If you are not the intended recipient, DO NOT read, copy, or

disseminate this communication. Non-intended recipients are hereby placed on

notice that any unauthorized disclosure, duplication, distribution, or taking of

any action in reliance on the contents of these materials is expressly

prohibited. If you have received this communication in error, please delete

this information in its entirety and contact the Amedisys Privacy Hotline at

1-. Also, please immediately notify the sender via e-mail that you

have received this communication in error. ***

[Guest guest]

Dianne,

Have you tried using a series of codes to describe? You state the underlying

disease process is diabetes, but is the sore relative to pressure, trauma or

ischemic changes? Use diabetes with complication codes (i.e. 250.6 diabetes

with neurological manifestations, 250.7 DM with peripheral circulatory

disorders, 250.8 DM with other specific manifestations). Further explain by

using a 707.1 (ulcer of lower limb, except decubitus) code i.e. 707.13 ulcer of

ankle or if the sore is due to pressure, a 707.0 code i.e. 707.06 pressure sore

ankle. If the wound is the result of a traumatic accident, you may want to use

one of the open wound i.e. 891 codes, however use of these codes requires an

explanatory E code to describe the precipitating event i.e.E888.1, fall striking

against object.

Jimmie

*** NOTICE--The attached communication contains privileged and confidential

information. If you are not the intended recipient, DO NOT read, copy, or

disseminate this communication. Non-intended recipients are hereby placed on

notice that any unauthorized disclosure, duplication, distribution, or taking of

any action in reliance on the contents of these materials is expressly

prohibited. If you have received this communication in error, please delete

this information in its entirety and contact the Amedisys Privacy Hotline at

1-. Also, please immediately notify the sender via e-mail that you

have received this communication in error. ***