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Home/Diagnosis/ICD-10 Coding for Ulcer on Toe

ICD-10 Coding for Ulcer on Toe

L97.511
E11.621

Complete ICD-10-CM coding and documentation guide for icd-10 coding for ulcer on toe includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Toe Ulcer
Foot Ulcer
Diabetic Toe Ulcer
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Key Information: ICD-10 Coding for Ulcer on Toe

Essential facts and insights about ICD-10 Coding for Ulcer on Toe

Use ICD-10 code L97.511 for non-pressure chronic ulcer of right toe limited to breakdown of skin, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Non-pressure chronic ulcer of right toe limited to breakdown of skin

Billable Code
L97.511
Billable

Diagnostic Criteria

  • • Presence of non-pressure related ulcer on right toe

Applicable To

  • • Ulcer of right toe with skin breakdown

Important Notes

  • • Ensure documentation specifies laterality and depth of the ulcer.

Type 2 diabetes mellitus with foot ulcer

Billable Code
E11.621
Billable

Diagnostic Criteria

  • • Diagnosis of type 2 diabetes
  • • Presence of a foot ulcer

Applicable To

  • • Diabetic foot ulcer

Important Notes

  • • Sequence diabetes code first, followed by ulcer code.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z79.4

Long term (current) use of insulin

Use when the patient is on insulin therapy.

I96

Gangrene, not elsewhere classified

Use when gangrene is present with the ulcer.

Frequently Asked Questions

How do you code a diabetic toe ulcer?

To code a diabetic toe ulcer, use E11.621 for diabetes with foot ulcer, and specify the ulcer location with L97.5-L97.9 codes.

What is the ICD-10 code for a non-pressure ulcer on the toe?

The ICD-10 code for a non-pressure ulcer on the toe is L97.511 for the right toe and L97.512 for the left toe.

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