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Primary Code: Add a Secondary Code for CKD Stage: Example Documentation Coding When a foot ulcer is due to diabetes: Primary Code: E11.621 Diabetes with foot ulcer Secondary Code (Required): Use an L97.x code to indicate: Site (ankle, heel, midfoot, toes) Laterality (left, right) Depth (skin breakdown, fat layer exposed, necrosis, bone involvement) Example Ulcer of left heel due to diabetes, necrosis of bone E11.621 + L97.423 Coding diabetic foot ulcers requires precise combination codingour wound care billing service provide accurate code selection along with modifier usage where necessary to get you paid for wound care and ulcer complications

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