AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2018 Issue 3; Ask the Editor

Necrotic Pressure Ulcer of Heel with Diabetic Peripheral Vascular Disease and Neuropathy

A 63-year-old diabetic patient, who has been diagnosed with a gangrenous decubitus ulcer of the left heel, is admitted to the hospital and undergoes excisional debridement of a foul-smelling necrotic pressure ulcer of the left heel. The provider’s final diagnostic statement listed, “Stage 3 necrotic decubitus ulcer of left heel associated with diabetic neuropathy and peripheral vascular disease.” Since the provider has documented an association between the diabetes and decubitus ulcer, which condition is sequenced as principal diagnosis? ...

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