tci Outpatient Facility Coding Alert - 2013 Issue 10

Reader Question: Focus on Type, Not Depth, When Classifying Ulcers

Question: Is there a method of correlating Wagner’s ulcer classification to ICD-9 and CPT® codes? For example, how should one report a grade 3 ulcer? Louisiana Subscriber Answer: You really don’t need to worry about Wagner’s ulcer classifications when you’re trying to determine a diagnosis code from the dermatologist’s chart notes. Wagner’s method classifies ulcers according to their depth, while ICD-9 classifies ulcers according to their type, decubitus (707.0x) or non-decubitus (707.1x), and their location (ankle, heel, midfoot). Wagner’s ulcer classification: Grade 0: No open ulceration; Grade 1: Full thickness...

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