Gemini18
Expert
Left great toe ischemia s/p amputation
PVD
ESRD on peritoneal dialysis
DM 2
Thank you.
PVD
ESRD on peritoneal dialysis
DM 2
Thank you.
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Wiki Need help coding...
- Thread starter Gemini18
- Start date
dclark7
True Blue
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
Doreen, CPC
Gemini18
Expert
Help coding
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.
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.
dclark7
True Blue
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
Doreen, CPC