ICD-10-CM Diagnosis Code L89. lower limb 250. Summary. Diabetic foot ulcers. A total of 59 patients with diabetic foot ulcer were co-managed by the Department of Orthopedics during this period of the pandemic. Patient 2 developed bilateral neuroischemic ulcers showing decreased tissue oxygen saturation and increased superficial papillary and deep dermal reticular hemoglobin concentrations. The diabetic foot: Pathophysiology, evaluation, and treatment. Non-pressure chronic ulcer of other part of right foot with unspecified severity. 522. The refractory nature of foot ulcer. RESULTS Of 194 patients with new foot ulcers, 67. 8 707. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code L97. 514. The underlying premise being DFU is a type of neuroischemic ulcer. 39–4. 519. 103 Non-pressure chronic ulcer of unspecified thi. of other part of foot . Regarding the positive clinical outcomes of sucrose octasulfate impregnated dressing documented in neuroischemic diabetic foot ulcers (DFUs), we aimed to evaluate the microcirculatory status in patients with neuroischemic DFU through the use of sucrose octasulfate dressing. Diabetic foot ulcers (DFU) are a common, highly morbid consequence of longstanding and poorly managed diabetes. Neuro-ischemic Ulcer with Osteomyelitis under the Hallux. In total there were 13,093 (5. g. In this regard, against theGet free rules, notes, crosswalks, synonyms, history for ICD-10 code I70. 621, E09. Diabetic foot ulcers can be divided into two groups: those in neuropathic feet (so called neuropathic ulcers) and those in feet with ischaemia often associated with. Short description: Non-prs chronic ulcer of left heel and midfoot w unsp severt The 2024 edition of ICD-10-CM L97. 1 Around one in four people with diabetes will develop a diabetic foot ulcer (DFU) in their lifetime. Demetriou M, Papanas N, Panopoulou M, Papatheodorou K, Bounovas A, Maltezos E Int J Low Extrem Wounds 2013 Jun;12(2):87-93. 821A [convert to ICD-9-CM]Diabetic foot ulcers (DFUs) represent a disabling complication of diabetes that has a devastating impact on the quality of life and predict lower-limb amputation and premature mortality (). 622 became effective on October 1, 2023. Department of Dermatology, University of Cologne, Cologne, Germany. 0): 557 Tendonitis, myositis and bursitis with mcc;Foot ulceration is among the most common health issues, and its prevalence has increased recently. For ICD-10 purpos es, if there is an ulcer on the foot of Thorough documentation and accurate coding are key. The treatment for both pressure ulcers and diabetic foot ulcers includes offloading (i. In the modern era, it is evident that the majority of foot ulcers also have an ische-mic element. Toggle navigation. Complexity of factors related to outcome of neuropathic and neuroischemic/ischemic diabetic foot. Evidence has shown that debridement of diabetic foot ulcers enhances the healing process when combined with standard wound care for a diabetic foot ulcer. The neuroischaemic DFU. The monograph begins with. U. The lifetime risk of developing a foot ulcer in patients with diabetes is more than 33%. 222 became effective on October 1, 2023. com Common sites of neuroischemic ulcers: Toes, margins of the foot and the dorsum of the foot. ICD-9-CM 707. 31 In 2a, there were focal increases in StO 2 and decreases in HbT 1 at the initial pre-ulcerative sites on the distal hallux, briefly displaying signatures more consistent with neuropathic. In: ICD-10-CM. Diabetic neuropathy results in foot deformity, leading to increased skin pressure with walking. 004) as well as with minor or major amputation among patients with neuropathic ulcers (2. L97. However if that is not the diagnosis and it states only. 23, and 707. A diabetic foot ulcer is an open sore or wound on the foot of a person with diabetes, most commonly located on the plantar surface, or bottom of the foot. The economic burden inflicted on the health care systems and the individual with diabetes and foot complications is considerable. Few studies evaluate outcome in ischemic or neuroischemic foot ulcers irrespective of vascular intervention. 9) and 11. 18. This is the American ICD-10-CM version of E11. 9. 5- Non-pressure chronic ulcer of other part of lower leg : L97. 1). Non-pressure chronic ulcer of plantar surface of midfoot. In the intention-to-treat analysis, complete healing of the index ulcer was achieved in 37 patients at 1-year of follow-up: 25/48 (52%) in the HBOT group and 12/42 (29%) in the placebo group (P = 0. Cadaveric cryopreserved skin allografts can be used to stimulate healing, particularly for deep wounds with exposed bones and tendons (Snyder and Simonson, 1999). These types of wounds can be slow to heal. Conclusions We identified 45 ICD-9 and 304 ICD-10 ulcer codes which identified patients at risk for amputation from diabetes and peripheral artery disease. This was the first year ICD-10-CM was implemented into the HIPAA code set. The effects of peripheral neuropathy, peripheral vascular disease, and infection often combine to facilitate ulcer development that can lead to gangrene and amputation. CORNER. Although neuropathic ulceration remains the commonest type of foot ulcers among patients with diabetes,. Musculoskeletal Exam . The aim of this paper is to demonstrate the. 1–€1. ICD 10 code for Atherosclerosis of native arteries of left leg with ulceration of other part of foot. Family physicians should consider patient risk factors (e. M14. Congenital deformities of feet. Although neuropathic ulceration remains the commonest type of foot ulcers among patients with diabetes, recent data suggest that ischemic (and therefore, neuroischemic) ulcers are on the rise. The majority of foot ulcers, however, are either purely neuropathic or neuro-ischaemic, that is, caused by combined neuropathy and ischaemia. Sensory neuropathy is usually insidious in nature and can clinically present as positive symptoms. L97. E11. Wagner Diabetic Foot Ulcer Grade Classification System. Search All ICD-10; ICD-10-CM Diagnosis Codes; ICD-10-PCS Procedure Codes; ICD-10-CM Diagnosis Index; ICD-10-CM External Causes Index; ICD-10-CM Table of Drugs;. They are often seen on the margins of the foot and also develop on the tips of the toes and beneath any toe nails if these become overly thick. 2009 Jun;50(3):293-311. Diabetic foot infections (DFIs) typically begin in a wound, most often a neuropathic ulceration. Jude. The most common underlying etiologic factors responsible for chronic delayed healing among lower extremity wounds encountered in the outpatient clinic are chronic venous insufficiency (CVI), diabetic neuropathy, and arterial insufficiency (AI). Centers for Medicare and Medicaid Services and the National Center for Health Statistics; 2018. In patients with neuro-ischaemic ulcers, symptoms may be absent because of the neuropathy, despite severe pedal ischaemia. The ICD-10-CM code E11. Examples include the LeucoPatch system (), topical oxygen delivery (4,5), and, for. Foot ulcers are defined based on ICD-9 codes 040. The cost of diabetic foot ulcer care is approximately $1. 605 Pain in left leg M79. This is the American ICD-10-CM version of I70. Tissue and swab culture in diabetic foot infections: neuropathic versus neuroischemic ulcers. ; Diabetic ulcer of right toe with muscle necrosis due to dm 2; Neuropathic ulcer of right foot with muscle. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code I70. 235 - other international versions of ICD-10. Purpose: To assess the clinical efficacy of endovascular angiosome-oriented wound-targeted revascularization (WTR) vs indirect (wound-indifferent) revascularization (IR) in diabetic patients with neuroischemic foot ulcers. [2] Around 15 to 25% of patients with diabetes mellitus will develop a diabetic foot ulcer during their lifetime. Showing 1-25: ICD-10-CM Diagnosis Code L97. L97. ; Ulcer of right foot due to secondary diabetes mellitus; Ulcer of right toe. Materials and Methods: Between April 2009 and July 2017, 167 diabetic patients (mean age 72. 621 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 526 is grouped within Diagnostic Related Group(s) (MS-DRG v 41. Best answers. In many instances, foot ulcers and amputation can be. Foot ulcers are a significant complication of diabetes mellitus and often precede lower-extremity amputation. Neuro-ischemic Ulcers on the Medial Side of the Foot. Peripheral artery disease (PAD) is more common in patients with diabetes, and around half of patients with a diabetic foot ulcer have coexisting PAD 1-3. Diabetic foot ulcers occur in approximately 15% of persons with diabetes. Peripheral arterial disease, intermittent claudication and peripheral vascular disease are all codes to:. 4- (non-pressure chronic ulcer of heel and midfoot) or L97. A large (3. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code L97. Peripheral Arterial D isease . 500 results found. Neuroischemic ulcers are caused by a combination of two conditions — diabetic neuropathy and peripheral artery disease. The development of skin ulceration in the foot of a diabetic is a serious medical condition, which, if not healed promptly, can lead to amputation. BY JEFFREY LEHRMAN, DPM. Besides creating a temporary barrier,. The term 'ulcer' by itself (and not qualified as a 'foot ulcer' or a 'diabetic ulcer') is not linked in the ICD-10 to diabetes, so without documentation to support that it is a complication of the diabetes, we would not presume the causality and would code them separately. Sep 8, 2016. 1 entered into multivariable logistic regression models to examine factors independently associated with each outcome. Despite best practice, 30–40% of DFUs do not heal within 12–20 weeks (). Note: While the wound shown in the above image may appear to be a grade 3 ulcer. Most amputations in people with diabetes are preceded by ulceration of the foot, and it is estimated that around 7000 people with diabetes are affected by ulceration of the foot at any one time in. AU Oyibo. 631 Pain in right forearmCharcôt's joint, left ankle and foot. L97. Diabetic ulcers typically involve the foot starting on the toes and moving upward. 14, 16, 17, 20, 22, 26 – 29 It is also generally accepted that people with diabetes should be offered specific education about preventive foot care. Foot temperature is warm and foot pulses palpable. I70. It has several etiologies, atherosclerotic peripheral arterial disease, including that secondary to diabetes mellitus, being the most common. 39–4. Eleven patients with neuroischemic DFU were included in a. Peripheral. It is now appreciated that 15 – 20% of patients with such foot ulcers go on to need an amputation. 622. Infections are then classified. DOI: 10. stasis ulcer with edema of left foot; Venous stasis ulcer with edema of left foot limited to skin layer; Venous stasis ulcer with edema of left foot with bone necrosis; Venous. The 2024 edition of ICD-10-CM E10. with each term mapped to one or more ICD-10-CM code(s). Any non-healing wound should be assessed for neuropathy and perfusion status. 2001;24:. Consecutively presenting patients with diabetes and ischemic/neuroischemic foot ulcer (Wagner grade 1–5, at or below the ankle) admitted to a multidisciplinary foot centre between 1984 and 2006 (n = 1151; Fig. The 2024 edition of ICD-10-CM E11. Frequent predilection sites are the metatarsal heads (MTH); in the context of neuropathy increased plantar peak pressure occurs and leads to an ulcer. Poor diabetic control and high haemoglobin A1c. 1. 7% had no identified underlying factors. PubMed. An additional L89 code specifies the stage (depth of tissue injury) and the anatomical site. or neuroischemic, depending on how complications such as peripheral neuropathy and arterial disease affect the ulcer’s etiology. 15 should only be used for claims with a date of service on or before September 30, 2015. Introduction. Ischemic means reduced blood flow to an area of the body. L97. by Dr. Figure 3. Neuropathic wounds are more likely to heal over a period of 20 weeks, while neuroischemic ulcers take longer and will more often. Further, 44. Differential diagnosis of leg ulcers. 45]; P = 0. In 2011, 350 million people worldwide (6. 413 is a valid billable ICD-10 diagnosis code for Non-pressure chronic ulcer of right heel and midfoot with necrosis of muscle . › icd 10 code for left foot ulcer. Grade 1 – superficial ulcer of skin or subcutaneous tissue. DOI: 10. 509 Short Description: Non-pressure chronic ulcer oth prt unsp foot w unsp severity Long Description: Non-pressure chronic ulcer of other part of unspecified foot with unspecified severity The code L97. 1. 499 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. This is the American ICD-10-CM version of L89. Diabetic foot ulcers are a major healthcare problem. While all wounds are colonized with microorganisms, the presence of infection is defined by ≥2 classic findings of inflammation or purulence. 5 Diabetic foot ulcers are caused by a combination of underlying neuropathy, peripheral arterial. #2. Code History. 622 - other international versions of ICD-10 E11. Code Classification: Endocrine, nutritional and metabolic diseases (E00–E89) Diabetes mellitus (E08-E13) Type 2 diabetes mellitus (E11) E11. Foot ulcers and their complications are an important cause of morbidity and mortality in patients with diabetes. 0):Ulcer diagnosis was categorized into neuropathic, ischemic and neuro-ischemic according to the result of biothesiometry, palpable pedal pulses and distal blood pressure measurement of the foot. L97. 509 - Non-pressure chronic ulcer of other part of unspecified foot with unspecified severity answers are found in the ICD-10-CM powered by Unbound Medicine. A plantar foot ulcer was defined as a full-thickness lesion of the skin, i. 2 contain annotation back-references. This is the American ICD-10-CM version of L97. The article repeatedly discussed neuroischemic foot ulcers and does not address specifically diabetic foot ulcer as the etiology compared to other causes of neuroischemic ulceration. ICD-10-CM Diagnosis Code L97. 4 - other international versions of ICD-10 L97. A diabetic foot ulcer, which is caused exclusively by hyperglycemia, in the absence of neuropathy or ischemia, is a rarity. 621 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. I70. 622 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 272. There is an open, draining ulceration noted on this distal tip, third toe, left foot. This seems particularly true for diabetic neuroischemic foot wounds. The combination of most expensive ulcer and most expensive surgery yielded a cohort of 2355 patients with the highest average cost of $177,400 per patient ($78,800 annualized). . A duration of diabetes of at least 10 years. Type 2 Diabetes Mellitus With Foot Ulcer. Symptoms of ischemic ulcers include: deep, open wounds on the legs, ankles, or feet. 504. 499 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. DFUs develop as a consequence of a combination of factors, most commonly peripheral neuropathy (loss of the gift of pain. Superficial foot ulcer†: An ulcer not penetrating any structure deeper than the dermis. Jude. Lehrman, DPm Be aware that in ICD-10 language, a wound is something that occurred traumatically. A diagnosis of diabetes mellitus was defined as at least one record of ICD-10 code E10 for type 1 and E11 for type 2 diabetes. 245: 707. For details, refer to section 'Wagner Classification' in topic " Diabetic Foot Ulcer - Hyperbaric Oxygen Therapy". Disruption of harmony in glucose homeostasis causes hyperglycemic status, results in activation of certain metabolic pathways which in their abnormal state subsequently leads to development of vascular insufficiency, nerve damages headed by ulceration in lower extremity due to. 8 per 1,000 person-years (95% CI7. . The non-survivors were slightly older (58. Foot ulcers were identified through the regional hospital discharge system, which contains ICD codes of current diagnoses (ICD codes 707 or 440. Matilde Monteiro-Soares are co-authors of the chapter, “Peripheral Arterial Disease, Foot Ulcers, Lower. The combination of most expensive ulcer and most expensive surgery yielded a cohort of 2355 patients with the highest average cost of $177,400 per patient ($78,800 annualized). Short description: Non-pressure chronic ulcer of left ankle with unsp severity The 2024 edition of ICD-10-CM L97. The risk for a patient with diabetes to develop a foot ulcer is close to 25% 1 leading frequently to disablement and leg amputation. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code L97. Neuroischemic ulcers. 0):ICD 10 code for Non-pressure chronic ulcer of other part of left foot with necrosis of muscle. Nontraumatic ischemic infarction of muscle, left upper arm. ICD-10-CM Diagnosis Code L97. ICD-10-CM Diagnosis Code L97. Pressure ulcer of left foot, not stageable; Pressure ulcer of left lower leg, unstageable; Pressure ulcer of lower leg, unstageable; Pressure ulcer of right foot, not stageable; Pressure ulcer of right lower. People who have diabetes and a prior foot ulcer are reported to have a crude fourfold increased mortality at a median of 3. Drug or chemical induced diabetes mellitus with foot ulcer. 621 may differ. For patients with DM, neuroischemic wounds are more commonly found at the foot margins, while neuropathic ulcers tend to form on the plantar surface. 2 million), whereas the costs with infected foot ulcer were estimated. The purpose of this study was to identify factors related to healing in patients with diabetes with foot ulcers and severe PVD. L97. About 50% of patients undergoing nontraumatic lower-limb amputations have diabetes (). This technique is increasingly used to treat postoperative wounds in a diabetic ischaemic foot, especially when revasularisation is not possible. The number of new foot ulcers and lower-limb amputations in each grade of the Wagner system and each grade and stage of the UT system are shown in Table 2. In addition, neuropathy can allow minor scrapes or cuts. Patients with infected AUs are at particularly high risk for major limb amputation, especially if the ulcer is neuroischemic (i. , uremia was significantly associated with major amputation among patients with neuroischemic and ischemic ulcers (2. The study group was composed of DFUs patients managed by a limb salvage protocol according to guidance. Podiatrists. 7); a foot ulcer with a duration >30 days (OR, 4. 2 billion and $1. ICD 10 code for Non-pressure chronic ulcer of other part of left foot with fat layer exposed. de. Code Classification: Endocrine, nutritional and metabolic diseases (E00–E89) Diabetes mellitus (E08-E13) Type 2 diabetes mellitus (E11) E11. Ulcer of foot due to atherosclerosis of. Foot condition according to WIFI classification: W-2, I-1, FI-2. 03). 621 - Type 2 diabetes with foot ulcer. With regard to the etiology of foot ulceration, traditionally it is stated that 45–60% of ulcers are purely neuropathic, about 10% are purely ischemic and 25–45% are of mixed, neuroischemic. 499 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 621 became effective on October 1, 2023. Postthrom syndrome w ulcer and inflam of unsp low extrm; Postthrombotic ulcer with inflammation; Stasis. 8 707. Centers for Medicare and Medicaid Services and the National Center for Health Statistics; 2018. 1 Skin Substitutes and Skin Cells. 2 The grades are as follows 3:factor for healing of ischemic or neuroischemic diabetic foot ulcers. While all wounds are colonized with microorganisms, the presence of infection is defined by ≥2 classic findings of inflammation or purulence. Lehrman, DPm Be aware that in ICD-10 language, a wound is something that occurred traumatically. B. Venous ulcers (venous insufficiency ulceration, stasis ulcers, stasis dermatitis, varicose ulcers, or ulcus cruris) are wounds that are thought to occur due to improper functioning of venous valves, usually of the legs (hence leg ulcers). 6 million people worldwide and 1. 0-11. The risk factors for diabetic foot ulcers include: diabetic neuropathy – this is the most common complication of diabetes, affecting up to 50% of patients with type 1 and type 2 diabetes. 101 Non-pressure chronic ulcer of unspecified thi. L97. Search. In a cross-sectional study we examined the role of neuropathy, retinopathy, nephropathy, and plasma nitric oxide (estimated from plasma nitrite and nitrate) levels in diabetic patients with recurrent and non-recurrent neuropathic and neuroischemic foot ulcers. 2013. The purpose of this study was to identify factors related to healing of ulcers and the possibility for vascular intervention in consecutively presenting patients with diabetes with foot ulcers and severe PVD treated in a multidisciplinary. The annual population-based incidence of DFUs ranges from 1. Agbor Ndip and Edward B. 45]; P = 0. Emerging evidence for neuroischemic diabetic foot ulcers: model of care and how to adapt practice. Approximately 20% of people who develop a DFU will require lower-extremity amputation, either minor. 039 [convert to ICD-9-CM] Postthrombotic syndrome with ulcer and inflammation of unspecified lower extremity. The 2024 edition of ICD-10-CM E11. 890 [convert to ICD-9-CM] Pressure ulcer of other site, unstageable. This is the American ICD-10-CM version of L89. g. 6-7. This is the American ICD-10-CM version of M14. 1. Continued on page 72 THE DIABETIC fOOT Claudication was defined as recurrent cramping pain or tightness in the calf induced by exercise and relieved by rest. In addition, in the work of Gershater et al. 20, 29, 35 The effectiveness of any educational program is critically linked to the availability of complementary clinical. 1177/0268355513477066. Deep infection is characterized by osteomyelitis or soft tissue infection disseminated along the tendon. 424 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. ICD-10-CM codes for Pressure ulcers, located in. 326. The most frequent underlying etiologies are. Due to neuropathy, the process. Diabetic Neuro-Osteoarthropathy—A Special Feature of Diabetic Foot Syndrome. 13 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 707. ICD 10 code for Atherosclerosis of native arteries of right leg with ulceration of unspecified site. Ischemic ulcers (wounds) can occur when there is poor blood flow in your legs. It is estimated that a person with diabetes’ lifetime risk of developing a foot ulcer is 25%, with an uninfected ulcer costing EUR 10,000 and an untreated ischemic ulcer costing EUR 17,000 in 2008 . mixed neuropathic and ischemic diabetic foot ulcer). 90 may differ. 2. The 2024 edition of ICD-10-CM L89. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM. Pressure ulcers form in sites that experience shear or pressure, typically in tissue overlying bony prominences such as elbows, the sacrum, hips, or heels. 301. Additional signs of neuropathic ulcers include burning or tingling sensations and muscle apathy in the affected foot potentially resulting in deformities. 1% of the participants had a neuroischemic,. The etiology of a DFU is multifaceted, and several components cause added together create a sufficient impact on ulceration: neuropathy, vasculopathy, immunopathy, mechanical stress, and. 2015 Oct;38(10):e152-3. Author M Simms 1. 519. 8-Non-pressure chronic ulcer of unspecified part of lower leg :A pilot study to evaluate the efficacy of class IV lasers on nonhealing neuroischemic diabetic foot ulcers in patients with type 2 diabetes Diabetes Care . Athscl native arteries of right leg w ulcer of unsp site; The 2024 edition of ICD-10-CM I70. The presence of peripheral arterial disease (PAD) in particular is associated with an increased risk of ulceration, failure of ulcer to heal and amputation. 493 ICD-10 code L98. 504. 2013 Mar;28 Suppl 1:55-60. Nontraumatic ischemic infarction of muscle of left foot; ICD-10-CM M62. 43 [1. Diabetic ulcer of foot with fat layer exposure due to dm 2;neuropathic or neuroischemic diabetic foot ulcers. [29] [25] These ulcerations can have a prolonged period to heal. e. L97 Non-pressure chronic ulcer of lower limb, not. That term almost always refers to an ulcer on the foot of a diabetic that derives from neuro/ischemic etiology, as opposed to being strictly and principally due to pressure injury. 13 While rarely the primary cause of foot ulcers, the presence of limb ischemia increases the risk of an ulcer becoming infected 4,. 422 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. L97. 1 Non-pressure chronic ulcer of thigh. Patients with recurrent foot ulcers had higher vibration perception threshold values. Although neuropathic ulceration remains the commonest type of foot ulcers among patients with diabetes, recent data suggest that ischemic (and therefore, neuroischemic) ulcers are on the rise. 892 - other international versions of ICD-10 L89. 1999, the cost attributable to a new foot ulcer for a 40- to 65-year-old male was estimated at £19 000 in Downloaded from ijl. Most amputations in people with diabetes are preceded by ulceration of the foot, and it is estimated that around 7000 people with diabetes are affected by ulceration of the foot at any one time in England. 7 was present and neuropathic with codes 357 or 250. Objectives: Peripheral vascular disease (PVD) is an important limiting factor for healing in neuroischemic or ischemic diabetic foot ulcer. 234 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 006 Corpus ID: 20860603; Factors related to outcome of neuroischemic/ischemic foot ulcer in diabetic patients. 499 became effective on October 1, 2023. 15 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 707. sagepub. 13 Recently the International Working Group on the Diabetic Foot (IWGDF) has updated its guidelines on the diagnosis and treatment of foot infection in persons with diabetes. This system assesses ulcer depth and the presence of osteomyelitis or gangrene. 622 may differ. All patients had continuous follow-up until healing or death. Skin grafts are the most obvious therapeutic approach for replacing the lost tissue of skin ulcers. 6,7 The estimated current prevalence of each is 35%, 15%, and 50%, respectively. Synonyms: ankle ulcer due to type 2 diabetes mellitus, arteritic. Non-pressure chronic ulcer of other part of foot; ICD-10-CM L97. Introduction. The aetiology of the foot ulcer must be determined before treatment plans are put into place. When a minor trauma occurs and local edema occludes a superficial branch of a small artery of the skin below it in the presence of neuropathy, a shallow neuro-ischemic ulcer may form over the ischemic area. 1,7,9 Few studies evaluate outcome in ischemic or neuroischemic foot ulcers irrespective of vascular interven-tion. 271 to ICD-9-CM. 5-) ICD-10-CM Diagnosis Code E09.