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Home/Diagnosis/ICD-10 Coding for Ulcer Toe

ICD-10 Coding for Ulcer Toe

L97.511
E11.621

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

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

Essential facts and insights about ICD-10 Coding for Ulcer 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

  • • Ulcer limited to skin breakdown on the right toe

Applicable To

  • • Ulcer of right toe with skin breakdown

Important Notes

  • • Ensure laterality and depth are documented to avoid unspecified codes.

Type 2 diabetes mellitus with foot ulcer

Billable Code
E11.621
Billable

Diagnostic Criteria

  • • HbA1c levels indicating diabetes
  • • Clinical notes linking ulcer to diabetic neuropathy

Applicable To

  • • Diabetic foot ulcer

Important Notes

  • • Diabetes must be documented as the underlying cause of the ulcer.
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 long-term insulin therapy.

Frequently Asked Questions

What is the ICD-10 code for a diabetic toe ulcer?

The ICD-10 code for a diabetic toe ulcer is E11.621, which should be used with a code from L97.5- to specify the ulcer's location and severity.

How do you code a non-pressure ulcer of the toe?

For a non-pressure ulcer of the toe, use L97.511 for right toe or L97.512 for left toe, specifying the ulcer's depth and laterality.

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