Thursday, September 10, 2015

If you are a podiatrist, you treat diabetic feet......It's what you do! Know the ICD-10 codes you need to know for treating your diabetic patients.





 Many people getting lost in the trauma coding but unless you are in a very high trauma practice, these should not be your main focus.
Don’t get distracted by the coders who can’t pronounce calcaneusKnow your most common procedures and know how to code them
At risk foot careBilling 11721You need to document your class finds and have your Q modifiers correctDiagnosis needed:Must have diabetes diagnosisChoices:E11.40 DM2 Neuro CompE11.51 DM2 PVD CompE10.40 DM1 Neuro CompE10.51 DM1 PVD CompMust have Nail pathology
B35.1 Mycotic NailIf Neuro Modifier being used the DM diagnosis had it but would consider using G60.9 which is peripheral Neuropath
   Mycotic diabetic foot care for DM type 2 with neuro might look like
Procedure code: 11721 Q8Diagnosis codes:
E11.40B35.1G60.9Procedure Codes: 11055,11056 Q8Diagnosis codes:
E11.40B35.1G60.9L84


Mycotic diabetic foot care for DM type 2 with neuro might look like
    Procedure code: 11721 Q
    Diagnosis codes:
E11.51
B35.1
I73.9

Procedure Codes: 11055,11056 Q9
Diagnosis codes:
E11.51
B35.1
I73.9
L84

Mycotic diabetic foot care for DMtype1 with neuro might look like
Procedure code: 11721 Q8
Diagnosis codes:
E10.40
B35.1
G60.9

Procedure Codes: 11055,11056 Q8
Diagnosis codes:
E10.40
B35.1
G60.9
L84

Mycotic diabetic foot care for DM type1 with PVD might look like
Procedure code: 11721 Q9
Diagnosis codes:
E10.51
B35.1
I73.9

Procedure Codes: 11055,11056 Q9
Diagnosis codes:
E10.51
B35.1
I73.9
L84

If you are a practicing podiatrist seeing diabetic patients can decrease the possibility of them having a non traumatic amputation tremendously
In the study by Weck, et al, in Cardiovascular Diabetology, 2013. Instituting a structured diabetic foot program can yield a 75% reduction in amputation rates and a near four-fold reduction in inpatient mortality.
It has been proven time and time again in peer reviewed literature, that these patients who have diabetes that visit the podiatrist are much less likely to have an amputation of an extremity. 
 Podiatric medical care in people with history of diabetic foot ulcers can reduce the high level amputation between 65% and 80%. Gibson, et al, Int Wound Journal 2013. 
Ulcer diagnosis in diabetics
If your patient is Type 1 diabetic with an ulcer the diagnosis code is:  E10.622
If your patient is Type 2 diabetic with an ulcer the diagnosis code is: E11.622
These codes are the highest level of specificity for the types of Diabetic Ulcers we see in the office (do not confuse with pressure ulcers, different codes)
This is a good improvement, as all of the ulcer codes used to be jumbled together whether they were pressure, diabetic ect.
Coding for Diabetic Foot Ulcer debridement
11042, 11043 and 11042 use modifier L or R
There is no laterally in the diabetic ulcer codes themselves so laterally is still in your procedure codes
Diagnosis: 
E11.621 Type 2 dm with foot/ankle ulcer
E10.622 Type 1 dm with foot/ankle ulcer

To be specific as possible I would consider also coding their diabetes
Choices:
E11.40 DM2 Neuro Comp
E11.51 DM2 PVD Comp
E10.40 DM1 Neuro Comp
E10.51 DM1 PVD Comp

Yes they have diabetes and an ulcer. But documenting the DM2 Neuro E11.40, for example, is letting them know that the diagnosis of ulcer is “due to” the Neuro Complications
This makes this much more specific


Check out our website at: http://centeranklefootcare.com/catalog/c14_p1.html for a superbill for podiatry most common codes

40 comments:

  1. Hi ! Thanks for sharing great information about foot treatment. Thanks !!

    ReplyDelete
    Replies
    1. I want to use this golden opportunity to say thanks to Dr Azuka for curing my ( DIABETES VIRUS) with his Herbal Medicine. i have being suffering from DIABETES Virus for 5 years now,and since then was using drug over which keep me till today,but one day as I was surfing through the Internet I met a post about a lady who was cured for DIABETES by Dr Azuka so I decided to give it a try to see if he could save my life Luckily for me I was cured by him. I cannot stop thanking him for what he has done for me if you are into similar problem you can contact him via email: Dr.azukasolutionhome@gmail.com

      Dr Azuka have cure for any types of disease blows, call or Whats App +2348132777335.

      Herpes
      HIV
      DIABETES
      CANCER
      Asthma
      STROKE
      INFERTILITY
      HEPATITIS B
      HEART DISEASE

      Delete


    2. Am jeremiah, I am testifying about a great hebal man that cured my wife of hepatitis B and liver cirhosis. his name is Dr oniha. My wife was diagnose of hepatities two years ago, i almost spent all i had then, until i saw dr oniha recommendation online, and i call him, then he told me how to get the herb. You can call him on +2347089275769 or email him at dronihaspell@yahoo.com

      Delete
    3. Thanks to chief dr lucky, I am from USA, I was diagnosed of Emphysema (COPD) in 2015 and I have tried all possible means to get cured, i even visited phonologist but all to no avail, until i saw a post in a health forum about a herbal doctor from Africa who prepare herbal medicine to cure all kind of diseases including Emphysema, at first i doubted if it was real but decided to give it a try, when i contacted this herbal doctor via his email he sent me the Emphysema herbal medicine through courier service, when i received this herbal medicine, he gave me step by instructions on how to apply it, when i applied it as instructed i was totally cured of thisdeadly disease within 12-14 days of usage, if you are suffering of this diseases you can as well Contact this great herbal doctor via his email: chiefdrlucky@gmail.com > call or Whats App him at +2348132777335.
      Website: http://chiefdrluckysolutionhome.website2.me/

      Delete


    4. Am jeremiah, I am testifying about a great hebal man that cured my wife of hepatitis B and liver cirhosis. his name is Dr oniha. My wife was diagnose of hepatities two years ago, i almost spent all i had then, until i saw dr oniha recommendation online, and i call him, then he told me how to get the herb. You can call him on +2347089275769 or email him at dronihaspell@yahoo.com

      Delete
    5. AM SANDRA FROM CANADA, THANKS TO DR ONIHA WHO HELP ME BRING MY HUSBAND BACK, MY HUSBAND LEFT ME WITH THREE KIDS, FOR ANOTHER YOUNG GIRL, FOR OVER TWO YEARS, I TRIED ALL I COULD TO SETTLED OUR DIFFRENCES, BUT IT YIELDED NO RESULT, I WAS THE ONE TAKING CARE OF THE CHILDREN ALONE, UNTIL ONE DAY, I CAME IN CONTACT WITH SOME ARTICLES ONLINE, CONTAINING HOW DR ONIHA HAS HELP SO MANY LOVERS AND FAMILY REUNION AND REUNIT AGAIN, AND I DECIDED TO CONTACT HIM, AND HE CAST HIS SPELL ON MY HUSBAND, WITHIN FIVE DAYS, MY HUSBAND RAN BACK HOME, AND WAS BEGGING ME AND THE KIDS FOR FORGIVENESS, IN CASE YOU ARE PASSING THROUGH SIMILAR PROBLEMS, AND YOU WANTS TO CONTACT DR ONIHA, YOU CAN REACH HIM VIA HIS CONTACT NUMBER, ON CALL OR WHATSAP +2347089275769 OR EMAIL DRONIHASPELL@YAHOO.COM

      Delete


    6. Am jeremiah, I am testifying about a great hebal man that cured my wife of hepatitis B and liver cirhosis. his name is Dr oniha. My wife was diagnose of hepatities two years ago, i almost spent all i had then, until i saw dr oniha recommendation online, and i call him, then he told me how to get the herb. You can call him on +2347089275769 or email him at dronihaspell@yahoo.com

      Delete
  2. Thanks for sharing this article,.
    Coding Analysis

    ReplyDelete
  3. If you are suffering from foot ulcers due to diabetes, then you can get the best treatment only from Diabetic Foot Centre in India . We provide the treatment at very low cost.

    ReplyDelete
  4. we provide the proper information about foot pain to the patient. If anyone interested then you can visit our website.

    ReplyDelete
  5. Do you have any video of that? I'd adoration to discover some extra data.
    Callous south Melbourne

    ReplyDelete
  6. Have you ever thought about foot spa benefits ? Actually foot spa is the way by which you can get rid of almost all the problems related to your feet. In addition, a perfect foot spa properly relieve you by reducing stress.

    ReplyDelete
  7. Nice post. Its a useful information for many people. MV Diabetes is one of the leading India's best diabetes Hospital and centre in Chennai. MV Hospital For Diabetes provides specially those on Diabetes Foot care India, Diabetes in Tamilnadu, Diabetic foot ulcer treatment Chennai

    ReplyDelete
  8. If you are facing the problem of diabetes and suffering from ulcers then from Satyam Clinic, you can get the best diabetic foot treatment in India at very affordable prices. You can also overcome the problem of diabetes with us.

    ReplyDelete
  9. Great blog!! Really you have been shared a nice blogs which are very useful. MV Diabetes is one of the leading India's
    best diabetes Hospital and centre in Chennai. MV Hospital For Diabetes provides specially those on Diabetes Foot care Chennai,Diabetic foot care hospital, Diabetic Foot Clinic

    ReplyDelete
    Replies
    1. Am Gorege vanisa by name, i was diagnosed with Herpes for 7 years i lived in pain with the knowledge that i wasn’t going to ever be well again i contacted so many herbal doctors on this issue and wasted a large sum of money but my condition never got better i was determined to get my life back so one day i saw mr josha post on how Dr abaka saved him from the VIRUS with his herbal medicine i contacted Dr abaka on his email address drabakaspelltemple@gmail.com we spoke on the issue i told him all that i went through and he told me not to worry that everything will be fine again so he prepared the medicine and send it to me through courier service and told me how to use it,after 14 days of usage I went to see the doctor for test ,then the result was negative,am the happiest man on earth now. this testimony is real.thanks to Dr abaka God bless you. you can also reach him on his number +2349063230051.

      Delete
  10. After being in relationship with Wilson for seven years,he broke up with me, I did everything possible to bring him back but all was in vain, I wanted him back so much because of the love I have for him, I begged him with everything, I made promises but he refused. I explained my problem to someone online and she suggested that I should contact a spell caster that could help me cast a spell to bring him back but I am the type that don't believed in spell, I had no choice than to try it, I meant a spell caster called Dr Zuma zuk and I email him, and he told me there was no problem that everything will be okay before three days, that my ex will return to me before three days, he cast the spell and surprisingly in the second day, it was around 4pm. My ex called me, I was so surprised, I answered the call and all he said was that he was so sorry for everything that happened, that he wanted me to return to him, that he loves me so much. I was so happy and went to him, that was how we started living together happily again. Since then, I have made promise that anybody I know that have a relationship problem, I would be of help to such person by referring him or her to the only real and powerful spell caster who helped me with my own problem and who is different from all the fake ones out there. Anybody could need the help of the spell caster, his email: spiritualherbalisthealing@gmail.com or call him +2349055637784 you can email him if you need his assistance in your relationship or anything. CONTACT HIM NOW FOR SOLUTION TO ALL YOUR PROBLEMS

    ReplyDelete
  11. How I Got My Ex Husband Back...........

    I am Shannon by name. Greetings to every one that is reading this testimony. I have been rejected by my husband after three(3) years of marriage just because another woman had a spell on him and he left me and the kid to suffer. one day when i was reading through the web, i saw a post on how this spell caster on this address Makospelltemple@yahoo.com , have help a woman to get back her husband and i gave him a reply to his address and he told me that a woman had a spell on my husband and he told me that he will help me and after 2 days that i will have my husband back. i believed him and today i am glad to let you all know that this spell caster have the power to bring lovers back. because i am now happy with my husband. Thanks for Dr.Mako. His email: Makospelltemple@yahoo.com OR.His WhatsApp Number:+2347054263874.

    ReplyDelete
  12. Very informative and well written post! Quite interesting and nice topic chosen for the post Nice Post keep it up.Excellent post. I want to thank you for this informative post. I really appreciate sharing this great post. Keep up your work.

    Medical coding training Ameerpet

    ReplyDelete
  13. Such a wonderful post. So many diabetic people will be get help from this blog. MV Diabetes is one of the leading India's best diabetes Foot care Hospital and centre in Chennai. MV Hospital For Diabetes provides specially those onTechnology Diagnostic in Chennai,Foot specialist in Chennai,Diabetologist in India

    ReplyDelete
  14. DAISY HEALTH CARE - Do you want to end your diabetes problem permanently? We provide safe and proven natural treatment for diabetic.

    Natural Treatment for Diabetic

    ReplyDelete
  15. So great work for informing us of the possibilities and following a certain path.
    Medical billing and coding training

    ReplyDelete

  16. That is very interesting; you are a very skilled blogger. I have shared your website in my social networks! A very nice guide. I will definitely follow these tips. Thank you for sharing such detailed article.

    Free Medical coding training in Hyderabad

    ReplyDelete
  17. Great Blog ! Your post is actually a useful information for many people.Thanks for sharing this helpful info with us. MV Diabetes is one of the leading India's best diabetes Hospital and centre in Chennai. MV Hospital For Diabetes provides specially those on
    Diabetes Management Chennai,Diabetes Specialist in Chennai,Diabetes Treatment in India

    ReplyDelete
  18. Great Blog!!! Your Post is really good and very informative. I hope Diabetes people also found this post very useful and informative.MV Diabetes is one of the leading India's best diabetes Hospital and centre in Chennai. MV Hospital for diabetes provides specially those on
    Diabetic Foot clinic,Diabetic Online Foot care,Foot Specialist in Chennai

    ReplyDelete
  19. This comment has been removed by the author.

    ReplyDelete
  20. I just came to your post and reading above thing it is very impressive me and it is very nice blog. Thanks a lot for sharing this. MV Diabetes is one of the leading India's best diabetes Hospital and centre in Chennai. MV Hospital For Diabetes provides specially those onDiabetes Treatment in India , Diabetic Online Footcare ,Diabetes in Tamilnadu

    ReplyDelete
  21. I have been in relationship with my boyfriend for 2 year now and we were planning to get married soon and all of a sudden he left me for another girl, i really love this guy and never can imagine my life without him. I further tried all my best to get him back but all my effort to get him back in my life did not work out. It was on this faithful day, i came across some comments on a website about this great spell caster called Dr Ogudugu, so many persons claimed that he help them to renew their relationship and bring their ex back, i had to contact him because he was my last hope. I contacted him through his email and he assured me that in two days time my boyfriend is going to leave the other girl and come back to me and it was a very great surprise to see my boyfriend coming back to me after two days. I am so very happy today that he came back to me and i achieved this with the help of Dr Ogudugu, and i advice if you need his help too, you can email him on his direct email address greatogudugu@gmail.com or for easy communication contact him on whatsApp him +2348139793075

    ReplyDelete
  22. I have been in relationship with my boyfriend for 2 year now and we were planning to get married soon and all of a sudden he left me for another girl, i really love this guy and never can imagine my life without him. I further tried all my best to get him back but all my effort to get him back in my life did not work out. It was on this faithful day, i came across some comments on a website about this great spell caster called Dr Ogudugu, so many persons claimed that he help them to renew their relationship and bring their ex back, i had to contact him because he was my last hope. I contacted him through his email and he assured me that in two days time my boyfriend is going to leave the other girl and come back to me and it was a very great surprise to see my boyfriend coming back to me after two days. I am so very happy today that he came back to me and i achieved this with the help of Dr Ogudugu, and i advice if you need his help too, you can email him on his direct email address greatogudugu@gmail.com or for easy communication contact him on whatsApp him +2348139793075

    ReplyDelete
  23. The article is well-written, well-framed and very much informative. A lot more can be learned from this write-up. Pegasi Media Group is the world’s leading database vendor that provides you the email list that you want. It is a well-reputed database vendor in the market or industry. The organizations all over the world prefer to work with Pegasi Media Group to expand their businesses. The organizations that are working with us are very much delighted with our services. We aim at rendering best services to our clients. For further information, or to give your suggestions, please do not hesitate to contact us.Surgery, Foot & Ankle Specialists Email List

    ReplyDelete


  24. Am jeremiah, I am testifying about a great hebal man that cured my wife of hepatitis B and liver cirhosis. his name is Dr oniha. My wife was diagnose of hepatities two years ago, i almost spent all i had then, until i saw dr oniha recommendation online, and i call him, then he told me how to get the herb. You can call him on +2347089275769 or email him at dronihaspell@yahoo.com

    ReplyDelete
  25. I am here to give my testimony about Dr. druromi who helped me. I want to inform the public how i was cured from (HUMAN PAPILLOMA VIRUS) by Dr. druromi, i visited different hospital but they gave me list of drugs which is very expensive to treat the symptoms and never cured me. I was browsing through the Internet searching for remedy on HPV and i saw someone comment talking about how Dr. druromi cured her. When i contacted him he gave me hope and send a Herbal medicine to me that i took for just 3 weeks and it really worked for me, my HPV result came out negative. I am so happy as i am sharing this testimony. My advice to you all who thinks that there is no cure for hpv that is Not true just contact him and get cure from Dr druromi cure of all kinds of sickness you may think of. Remember delay in treatment leads to death, email:(druromiherbstreatment@gmail.com)or call and whatsapp him on +2349020904596

    ReplyDelete
  26. This comment has been removed by the author.

    ReplyDelete
  27. Thanks for sharing this blog.
    Diagnostic centre in vijayawada
    We provide best preventive checkups based on age, gender, and medical history of patient.

    ReplyDelete
  28. Lakshmibaala hospital is a licensed clinic which provides proficient Podiatrist Doctor in Chennai and deals with complicated cases of long standing foot ulcers treatment and provides the best required service to its clients.

    ReplyDelete
  29. I can’t believe this is really true I never believe there is cure to this hsv 2 because all the hospital have told me there is no cure to it, few months ago I saw this man email DR.AZIEGBE on internet from a testimony share by someone who he help with his herbal cure I contact his email and ask for his help also, that is how he inform me about the cure process and this man sent me a herbal medicine which I took according to the way he instructed for 2 week I can’t believe when I go for test my result come out negative i am so happy to share this to the world there is real cure to herpes you can also contact DR.AZIEGBE through his email now DRAZIEGBE1SPELLHOME@GMAIL. COM and also WhatsApp him +2349035465208. or my assistant whatsApp me +1 (601) 452-8622 or email: JAMESAVA0001@GMAIL. COM...
    He also have herbs medicine to cured the following diseases;
    Diabetes, Lupus, HPV, Gout, Hepatitis A,B, Infertility, HIV/AIDS, CANCER

    ReplyDelete
  30. THE BEST LOVE SPELL CASTER ALL OVER THE WORLD

    Hey everyone My Name is cynthia From USA ,I’m so excited my broken Marriage has been restored & my husband is back after he left me and our 2 kids for another woman. After 8 years of marriage, me and my husband has been into one quarrel or the other until he finally left me and moved to Holland to be with another woman. i felt my life was over and my kids thought they would never see their father again. i tried to be strong just for the kids but i could not control the pains that torments my heart, my heart was filled with sorrows and pains because i was really in love with my husband. Every day and night i think of him and always wish he would come back to me, I was really upset and i needed help, so i searched for help online and I came across a website that suggested that Dr isiramen can help get ex back fast. So, I felt I should give him a try. I contacted him and he told me what to do and i did it then he did a (Love spell) for me. 28 hours later, my husband really called me and told me that he miss me and the kids so much, So Amazing!! So that was how he came back that same day,with lots of love and joy,and he apologized for his mistake,and for the pain he caused me and the kids. Then from that day,our Marriage was now stronger than how it were before,All thanks to Dr isiramen. he is so powerful and i decided to share my story on the internet that Dr isiramen real and powerful spell caster who i will always pray to live long to help his children in the time of trouble, if you are here and you need your Ex back or your husband moved to another woman, do not cry anymore, contact this powerful spell caster now. Here’s his contact: Email him at: oyimeanelisiramen@gmail.com, you can also call him or add him on:+2348117963221
    Whats-app:+2348117963221

    ReplyDelete


  31. Am jeremiah, I am testifying about a great hebal man that cured my wife of hepatitis B and liver cirhosis. his name is Dr oniha. My wife was diagnose of hepatities two years ago, i almost spent all i had then, until i saw dr oniha recommendation online, and i call him, then he told me how to get the herb. You can call him on +2347089275769 or email him at dronihaspell@yahoo.com

    ReplyDelete
  32. I Want To Appreciate Dr.OYAGU for hs great deeds, I Was Diagnosed With type 2 Herpes Virus Last year,And Was Look For Solution To Be Cured Luckily I Saw Testimonies On How Dr.OYAGU Cure Herpes Virus I Decided To Contact Dr.OYAGU I Contacted Him He Prepared A Herbal Medicine Portion And Sent It To Me,I Started The Herbal Medicine For My Health.He Gave Me Step By Step Instructions On How To Apply It, When I Applied It As Instructed, I Was Cured Of This Deadly Herpes Within 2 weeks, I Am Now Herpes Negative.My Brother And Sister I No That There Are So Many People That Have There Same Herpes Virus Please Dr OYAGU To Help You Too,And Help Me To Thank Dr.OYAGU For Cure Me, I’m Cured By Dr. OYAGU Herbal Medicine,His Contact Email:oyaguspellcaster@gmail.com

    Or Cell Whatsapp Number +2348101755322 thank you .....

    ReplyDelete
  33. I never had idea of love spell, Until i was heart broken and i went online for help then i read some testimonies about DR.ZABAZA online. Which shows how he has helped a lot of persons around the world restore their relationship or marriage, Without further doubt i contacted DR.ZABAZA via Email: zabaza.logan@yahoo.com AND via phone Number +2348182620374. After few hours i received a positive result from DR.ZABAZA and my relationship was restored and i and my lover have been enjoying a peaceful relationship.

    ReplyDelete