In: Nursing
ICD-10-CM Codes:
This 51 year old male is a Type I insulin-dependent diabetic admitted for treatment of a grade III foot ulcer which involved necrosis of the muscle on the left foot with gangrenous changes resulting from diabetic neuropathy, atherosclerosis(note to find the correct code: use the native arteries under Arteriosclerosis), and chronic peripheral vascular insufficiency.
E00-E89: Endocrine, nutritional and metabolic diseases
E10: Type 1
diabetes mellitus
with foot ulcer E10.621
L00-L99 :L Diseases of the skin and subcutaneous tissue :
L97 : Non-pressure chronic ulcer of lower limb, not elsewhere classified
L97.5 : Non-pressure chronic ulcer of other parts of foot
Ulcer, ulcerated, ulcerating, ulceration, ulcerative
lower limb (atrophic) (chronic) (neurogenic) (perforating) (pyogenic) (trophic) (tropical) : L97.909
foot specified: L97.509
left: L97.523
type 1 diabetes mellitis: E10.9
with neuropathy: E10.40
I00-I99 : Diseases of the circulatory system
I70 : Atherosclerosis
I70.2 :Atherosclerosis of native arteries of the extremities
I70.26: Atherosclerosis of native arteries of extremities with
gangrene
Arteriosclerosis, arteriosclerotic (diffuse) (obliterans) (of)
(senile) (with calcification) I70.90
extremities (native arteries) I70.209
leg: I70.209
left I70.202
with gangrene :I70.262 (and intermittent claudication, rest pain and ulcer)
Diabetes, diabetic (mellitus) (sugar) E11.9
type 1: E10.9
with peripheral angiopathy: E10.51
with gangrene :E10.52
gangrene E10.52
Answer:
E10.621
L97.523
E10.40
I70 262
E10.52