AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2021 Issue 1; Ask the Editor

Traumatic Laceration Evolving to Ulceration in Diabetic Patient

A patient, with type 2 diabetes mellitus, presented for follow up of a previous traumatic laceration, which the patient reported had worsened. The provider documented diabetic ulceration secondary to laceration of the left ankle, and further described the ulcer as full thickness with breakdown of skin. Are two codes assigned, one for the laceration and one for the ulcer? Alternatively, should only the ulcer be coded? How should this diagnosis be reported? ...

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