Poor diabetic control and high haemoglobin A1c. 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. Prompt diagnosis of a diabetes-related foot infection decreases the risk of morbidity and mortality. I70. Short description: Athscl native art of right leg w ulcer of heel and midfoot The 2024 edition of ICD-10-CM I70. In this regard, against theGet free rules, notes, crosswalks, synonyms, history for ICD-10 code I70. ICD-10-CM Diagnosis Code L97. Sensory neuropathy is usually insidious in nature and can clinically present as positive symptoms. 1. Non-Billable On/After Oct 1/2015. 909 is grouped within Diagnostic Related Group(s) (MS-DRG v 41. 23); ulcers were considered ischemic when ICD code 440 or 250. ICD-10-CM Codes › L00-L99 › L80-L99 › Non-pressure chronic ulcer of lower limb, not elsewhere classified L97 Non-pressure chronic ulcer of lower limb, not elsewhere classified L97-Emerging Evidence for Neuroischemic Diabetic Foot Ulcers: Model of Care and How to Adapt Practice July 2009 The International Journal of Lower Extremity Wounds 8(2):82-94Introduction. Non-pressure chronic ulcer of other part of foot; ICD-10-CM L97. There is an open, draining ulceration noted on this distal tip, third toe, left foot. The 2024 edition of ICD-10-CM E10. 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). 515. }, author={Jan Apelqvist and. 5 Non-pressure chronic ulcer of other part of foot . 414 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Dm 2 with neuropathic ulcer foot and heel; Neurogenic erectile dysfunction due to type 2 diabetes mellitus; Neuropathic midfoot and/or heel ulcer due to type 2 diabetes mellitus;. etiology, pathophysiology, history, physical examination, diagnosis, differential diagnoses, documentation and ICD-10 coding, see "Diabetic Foot Ulcers - Introduction and Assessment". 326 may differ. g. 621 [convert to ICD-9-CM]Research estimates that the lifetime incidence of foot ulcers within the diabetic community is around 15% and may become as high as 25%. 1177/1534734609336948 Abstract Although neuropathic ulceration remains the commonest type of foot ulcers among patients with diabetes, recent data suggest that. Book FREE Doctor Appointment. The non-survivors were slightly older (58. 621, E09. About 50% of patients undergoing nontraumatic lower-limb amputations have diabetes (). 2. 006 Corpus ID: 20860603; Factors related to outcome of neuroischemic/ischemic foot ulcer in diabetic patients. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code L97. 1) were treated and followed up according to a standardized protocol until healing or death. The 2024 edition of ICD-10-CM L97. Routine perfusion assessment detects some degree of PAD in at least 50–60% of DFU patients [10,11]. (Foot) – (ICD-10 L series). Use Additional. [1–3] Numerous risk factors for the development of foot ulcers have been suggested, the most important being peripheral sensory neuropathy followed by peripheral vascular disease. L97. Jude. The entire third digit, left foot is swollen to twiceA comparison of two diabetic foot ulcer classification systems: the Wagner and the University of Texas wound classification systems. 006 Corpus ID: 20860603; Factors related to outcome of neuroischemic/ischemic foot ulcer in diabetic patients. Synonyms: chronic ulcer of left foot, chronic. Background: The chronic-mechanical plantar ulcer in diabetic-neuropathic foot syndrome is the starting point for severe infections of the foot and amputations. Short description: Ath ext ntv art ulcrtion. 67 y/o), had more co-morbidities, and presented with. , dry skin, loss of hair growth, muscle atrophy, brittle nails) may also be present. 10. Short description: Non-pressure chronic ulcer of skin of sites. 7); a foot ulcer with a duration >30 days (OR, 4. s14. 622. Vacuum assisted closure may be used to achieve closure of diabetic foot ulcers and wounds that have been debrided. 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 . These types of wounds can be slow to heal. 45]; P = 0. , uremia was significantly associated with major amputation among patients with neuroischemic and ischemic ulcers (2. Ischemic ulcers are typically handled by a vascular service, whether the patient has diabetes or not. Superficial foot ulcer†: An ulcer not penetrating any structure deeper than the dermis. Type 2 Diabetes Mellitus With Foot Ulcer. 523. mixed neuropathic and ischemic diabetic foot ulcer). Additional signs of neuropathic ulcers include burning or tingling sensations and muscle apathy in the affected foot potentially resulting in deformities. ICD 10 code for Non-pressure chronic ulcer of other part of right foot with bone involvement without evidence of necrosis. Non-prs chronic ulcer of unsp ankle limited to brkdwn skin; Atherosclerotic ischemic ulcer of ankle limited to skin layer; Atherosclerotic ischemic ulcer of ankle, skin breakdown; Chronic ulcer of ankle with skin. Wound Care And Dressings. Materials and Methods: A randomized controlled trial was. In general, a non-occlusive and moist wound therapy is recommended to treat diabetic foot ulcers [8,42,43,44]. Foot ulcers are defined based on ICD-9 codes 040. code to identify site of ulcer (. Diabetes Mellitus * E10: Insulin. It is estimated that diabetes affects 422 million people worldwide, 8. L89. It is now appreciated that 15 – 20% of patients with such foot ulcers go on to need an amputation. Both studies, however, had only short. Non-pressure chronic ulcer of other part of unspecified foot with unspecified severity. Includes concise abstract and comprehensive resources on the condition (e. The ICD-10-CM code E11. This system assesses ulcer depth and the presence of osteomyelitis or gangrene. 6 million people worldwide and 1. Debridement is mentioned in the context of general treatments for neuroischemic ulcers. 499 became effective on October 1, 2023. Results. ICD-9-CM 440. 6 million in the United States each year. Foot ulceration in diabetes can either be associated with neuropathy (neuropathic ulcer), peripheral vascular disease (ischemic ulcer), or both (neuroischemic ulcer), although the final etiopathogenetic pathway may involve a combination of these primary risk factors and other causal factors such as trauma. 13 should only be used for claims with a date of service on or before September 30, 2015. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). 892 - other international versions of ICD-10 L89. Introduction. 621 Type 2 diabetes mellitus with foot ulcer. Patient with diabetes with lower extremity ulcer of neuropathic, neuroischemic or ischemic etiology. As many as 1% of older people in the Western world are at risk of developing a foot ulcer as a complication of diabetes mellitus. Short description: Athscl native arteries of right leg w ulcer oth prt foot; The 2024 edition of ICD-10-CM I70. 271 to ICD-9-CM. 524 - Non-pressure Chronic Ulcer of Other Part of Left Foot With Necrosis of Bone [Internet]. L08. The purpose of this study was to identify factors related to healing in patients with diabetes with foot ulcers and severe PVD. This is the American ICD-10-CM version of L89. 421 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Stop Using “Unspecified” ICD-10 Codes. 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. 421 became effective on October 1, 2023. In many instances, foot ulcers and amputation can be. Unfortunately, Neurogenic or Neuropathic Ulcer does not have a specific code, or Code Set. 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. ICD 10 code for Non-pressure chronic ulcer of other part of left foot with fat layer exposed. ICD-9-CM 707. The pathophysiology of diabetic foot ulcers includes progressive development of a sensory, motor, and autonomic neuropathy. The resultant debility and disability constitutes a burden for both individuals and their health. Of all patients, 15% had lower-limb amputations as a result of their nonhealing ulcers, 65% had ulcers that. Objectives: Peripheral vascular disease (PVD) is an important limiting factor for healing in neuroischemic or ischemic diabetic foot ulcer. If the foot/toe wound area is greater than 100 sq cm, then . Grade 2 – ulcers extend into tendon, bone, or capsule. 15 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 707. 5- Non-pressure chronic ulcer of other part of lower leg : L97. 2,3 If left untreated, foot ulcers can progress to soft tissue infection, gangrene, and limb loss. This then provides additional pressure points which are prone to ulceration. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM. Short description: Non-prs chr ulcer of left heel and midfoot w fat layer expos The 2024 edition of ICD-10-CM L97. . 8 Intensive preventive strategies, including patient education, foot care, and the use of appropriate footwear, may. For example, if you are treating a patient with an aggregate sum of foot/toe wound area calculated to be 37510 ARTERIAL ULCERS Ulcers caused by peripheral arterial disease, which commonly occur on the tips and tops of the toes, tops of the foot, or distal to the medial malleolus. 248. L97. Short description: Non-prs chronic ulcer of left heel and midfoot w unsp severt The 2024 edition of ICD-10-CM L97. 621 may differ. Non-pressure chronic ulcer of other part of foot; ICD-10-CM L97. 409 became effective on October 1,. Background and Objectives: To propose a new classification of diabetic foot syndrome adapted for inclusion in the ICD-10 (the ICD-10 is the 10th revision of the International Statistical Classification of Diseases) and providing more reliable data on the number of clinical cases. 622 may differ. 41: Non-pressure chronic ulcer of right heel and midfoot L98. 503 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The risk of developing a DFU, and the factors. 1,4,7,8 Noninvasive vascular testing has been shown to predict probability for healing of diabetic foot ulcers. ICD-10-CM Diagnosis Code I70. This study aims to evaluate clinical and ulcer characteristics as well the outcomes of patients with diabetic foot ulcers (DFUs). 6. The patients' data were prospectively. The ICD-10-CM code E11. 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. The ulcer should be assessed with regard to severity, location, presence of infection, stage of healing, temperature and odour. 245. Diabetic foot ulcers (DFU) are a common, highly morbid consequence of longstanding and poorly managed diabetes. Diagnostic Considerations. Figure 3. Further, 44. Short description: Athscl native arteries of right leg w ulcer of unsp site The 2024 edition of ICD-10-CM I70. Venous ulcer: note the specific granulation tissue and. One or more of these fac- tors can be identified in more than 90% of chronic lower extremity ulcers. The classic diabetic trophic ulcer must be distinguished from various other problems that tend to occur in persons with diabetes, such as diabetic dermopathy, bullosis diabeticorum, eruptive xanthoma, necrobiosis lipoidica, and granuloma annulare. The continuously increasing worldwide prevalence of diabetes will be accompanied by a greater incidence of diabetic foot ulcer, a complication in which many of the morphological processes involved in normal wound healing are disrupted. 15. Causes of hospitalization and procedures related to diabetic foot disease, as coded by ICD-10 codes, relative risk and source. 509 - Non-pressure chronic ulcer of other part of unspecified foot with unspecified severity was found in ICD-10-CM 2023, trusted medicine information. 271 is grouped within Diagnostic Related Group(s) (MS-DRG v 41. Not only are neuropathic ulcers a burden to the patient but also to the economy. 621 became effective on. 429 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Family physicians should consider patient risk factors (e. The pathophysiology of the diabetic foot ulcer and soft-tissue infection is due to neuropathy, trauma, and, in many patients, concomitant peripheral artery occlusive disease. The refractory nature of foot ulcer. The lifetime risk of developing a foot ulcer in patients with diabetes is more than 33%. 2009;82-94. for each additional 100 sq cm* of wound surface area. 8 707. Infections are then classified. PAD has been variously defined in the literature, but for the purposes of this guidance document, it is defined as any atherosclerotic arterial occlusive disease below the level of. 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). 3 DFUs in the context of combined neuroischemic disease exhibit worse outcomes. . 502. Applicable To. foot with muscle necrosis due to diabetes mellitus type 1; Diabetic ulcer of right foot with muscle. Neuro-ischemic Ulcer with Osteomyelitis under the Hallux. 5-) ICD-10-CM Diagnosis Code E13. The study group was composed of DFUs patients managed by a limb salvage protocol according to guidance. Local paresthesias, or lack of sensation, over pressure points on the foot leads to extended microtrauma, breakdown of overlying tissue, and eventual ulceration. Venous stasis ulcer with edema of lower leg; ICD-10-CM L97. This is the American ICD-10-CM version of E11. Grade 5 – whole foot gangrene. #2. 14 should only be used for claims with a date of service on or before September 30, 2015. The economic effect of these ulcers is surprisingly high. :846. DOI: 10. The purpose of this study was to identify factorsDiabetic foot ulcer is defined as a full-thickness wound that destroys the deep tissues and develops at a level distal to the ankle and is associated with neurological abnormalities in patients with diabetes [1–3] These ulcers can be classified as neuropathic, ischemic or neuro-ischemic [4–6]. Previous installments focused on the diagnosis and management of diabetes foot complications and infections. L97. Healing pressure ulcer of other site, stage 2. 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. 12968/bjcn. Non-pressure chronic ulcer of other part of unspecified foot with unspecified severity L00-L99 2024 ICD-10-CM Range L00-L99 Diseases of the skin and subcutaneous tissue Type 2 Excludes certain conditions. n engl j med 351;1 july 1, 2004 clinical practice 49 of assessment of foot pulses, noninvasive assess-ment of the peripheral circulation is recommended Diabetic foot ulcer has an annual incidence of 2–6% and affects up to 34% of diabetic patients during their lifetime. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). Risk factors. These patients have a high. What You Should Know About ICD-10 Diabetic Foot Ulcer Codes. ICD-9-CM 707. 609 Pain in unspecified limb M79. Table 2. Toggle navigation. 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. leads to muscle wasting and eventually foot deformities. The 2022 edition of ICD-10-CM L97. Cadaveric cryopreserved skin allografts can be used to stimulate healing, particularly for deep wounds with exposed bones and tendons (Snyder and Simonson, 1999). 0-11. 6 million in the United States each year. 25 is applicable to adult patients aged 15 - 124 years inclusive. Edward Boyko and Dr. ICD-10 Codes for Diabetic Foot Ulcers. 622 - other international versions of ICD-10 E11. This study aims to evaluate clinical and ulcer characteristics as well the outcomes of patients with diabetic foot ulcers (DFUs). 6-7. 0% were neuropathic, 26. DFUs develop as a consequence of a combination of factors, most commonly peripheral neuropathy (loss of the gift of pain. Complexity of factors related to outcome of neuropathic and neuroischemic/ischemic diabetic foot. Correct coding should be done based on contextual judgment. In the Alphabetic Index of Diseases, there is Ulcer>Skin which has the assortment of Synonyms (which I would interpret as "includes"): Atrophic, Chronic, Neurogenic, Non-healing, Perforating,. 20, 29, 35 The effectiveness of any educational program is critically linked to the availability of complementary clinical. than the diabetes mellitus, and ICD-10-CM instructs to code first any associated gangrene. 9. PubMed. 5- (non-pressure chronic ulcer of other part of. of right foot with inflammation; Venous stasis edema with ulcer of right toe; Venous stasis edema. 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. This is the American ICD-10-CM version of M14. 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 code is valid. Code Classification: Endocrine, nutritional and metabolic diseases (E00–E89) Diabetes mellitus (E08-E13) Type 2 diabetes mellitus (E11) E11. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code L97. with necrosis of bone. Best answers. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code I70. 4 may differ. Arterial and venous ulcers after local debridement. All other Codes (ICD-10, Bill Type, and Revenue) have. Chronic ulcer of right foot. 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. Early intervention and management are essential given the high mortality rate after amputation. The management of diabetic foot ulcers requires offloading the wound, [6, 7] daily saline or similar dressings to provide a moist wound environment, [] débridement when necessary, antibiotic therapy with or without surgical intervention if osteomyelitis or soft tissue infection is present, [9, 10] optimal control of blood glucose, and evaluation. 0): 573 Skin graft for skin ulcer or cellulitis with mcc; 574 Skin graft for skin ulcer or cellulitis with cc; 575 Skin graft for skin ulcer or cellulitis without cc/mcc;Diabetic foot ulcer is a breakdown of the skin and sometimes deeper tissues of the foot that leads to sore formation. L97. The annual population-based incidence of DFUs ranges from 1. The key factor in healing an arterial ulcer is: Choice of dressing Compression Debridement Revascularization. 11 Peripheral neuropathy can be sensory, motor or autonomic. Tissue and swab culture in diabetic foot infections: neuropathic versus neuroischemic ulcers. 15 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 707. This makes neuropathic ulcers an important therapeutic target. Talk to our expert vascular doctor for management and treatment of diabetic foot ulcers. Code Classification: Diseases of the skin and subcutaneous tissue (L00–L99)1. 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. 62 [1. 621 became effective on October 1, 2021. The presence of peripheral vascular disease (PVD) is a strong predictor of non-healing foot ulcers 9, with diabetic. 504. Eleven patients with neuroischemic DFU were included in a. Debridement is mentioned in the context of general treatments for neuroischemic ulcers. An additional L89 code specifies the stage (depth of tissue injury) and the anatomical site. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). Get free rules, notes, crosswalks, synonyms, history for ICD-10 code L97. 31) The following code(s) above Z87. L97. Graftskin, a human skin equivalent, is effective in the management of noninfected neuropathic diabetic foot ulcers. Foot infection is the most common cause of non-traumatic amputation in. For patients with DM, neuroischemic wounds are more commonly found at the foot margins, while neuropathic ulcers tend to form on the plantar surface. 509. 2018 - New Code 2019. L97. Moreover, the occurrence of infection is closely related to the probability of amputation, especially in patients with PAD (7). Direct infct of ank/ft in infec/parastc dis classd elswhr; Direct infection of tarsus, metatarsus and phalanges in infectious and parasitic diseases classified elsewhere. g. All other Codes (ICD-10, Bill Type, and Revenue) have. E11. Call Us. If the patient has this condition and the diabetic foot ulcers, then code both conditions and you may use the peripheral angiopathy with gangrene first listed. ICD 10 code for Personal history of diseases of the skin and subcutaneous tissue. Turns M Br J Community Nurs 2013 Dec;Suppl:S14, S16-9. Diabetic Neuro-Osteoarthropathy—A Special Feature of Diabetic Foot Syndrome. 8 per 1,000 person-years (95% CI7. 326 - other international versions of ICD-10 L97. 919 [convert to ICD-9-CM] Non - pressure chronic ulcer of unspecified part of right lower leg with unspecified severity. 1. 422 became effective on October 1, 2023. com at Novo Nordisk A/S on February 2, 2016factor for healing of ischemic or neuroischemic diabetic foot ulcers. ; Ulcer of right foot due to secondary diabetes mellitus; Ulcer of right toe. The economic burden to health care system. Diabetic neuropathy results in foot deformity, leading to increased skin pressure with walking. Am Fam Physician. Estimating likelihood of benefit of/ requirement for revascularization (assuming infection can be controlled) [9]. Main factors associated with healing were age and SPP values. 0): 557 Tendonitis, myositis and bursitis with mcc;Foot ulceration is among the most common health issues, and its prevalence has increased recently. 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. 621 became effective on October 1, 2023. Short description: Non-prs chr ulcer of left heel and midft lmt to brkdwn skin; The 2024 edition of ICD-10-CM L97. Non-pressure chronic ulcer of other part of left foot with bone involvement without evidence of necrosis. The monograph begins with. Consult specialists for diabetic foot ulcer nearby. In patients with neuro-ischaemic ulcers, symptoms may be absent because of the neuropathy, despite severe pedal ischaemia. Neuroischemic ulcers are caused by a combination of two conditions — diabetic neuropathy and peripheral artery disease. If the foot ulcer doesnt heal within a month or the infection spreads to the bone, in this case, patients may need other treatments. 4-, L97. Photographs of the plantar foot, taken at each study visit or in between. 1177/0268355513477066. Diabetic foot ulcers are potentially modifying complications. Billable Thru Sept 30/2015. This is the American ICD-10-CM version of E10. 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. ICD 10 code for Non-pressure chronic ulcer of other part of right foot with fat layer exposed. Sep 8, 2016. Search Results. Our findings of a crude 2. Foot ulcers will occur in 5-10% of the diabetic population; up to 3% will have a lower-limb amputation(). The economic burden inflicted on the health care systems and the individual with diabetes and foot complications is considerable. Looking more closely at the L97- code options for a diabetic foot ulcer, we see that we have to choose a fourth character of either “4” or “5” with the options being L97. 1,4,7,8 Noninvasive vascular testing has been shown to predict probability for healing of diabetic foot ulcers. These ulcers occur more often in the digits (toes) and the lateral (side) aspects of the foot. 0% to 4. Deep foot ulcer†: An ulcer penetrating below the dermis into subcutaneous structures, such as fascia, muscle. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code L97. 62 [1. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code L97. Bookshelf ID: NBK538977 PMID: 30958663 DOI: 10. Continued on page 72 THE DIABETIC. S. Which of the following locations would MOST likely be associated with a neuroischemic ulcer? Heel Lateral aspect of the fifth metatarsophalangeal joint Medial malleolus Plantar metatarsal head. Non-pressure chronic ulcer of other part of unspecified foot with necrosis of bone. Neuroischemic ulcers in diabetic foot are easily infected; however, infection is rarely the cause of the ulcers. M62. Recurrent foot ulcer: New ulcer in a patient who has a history of ulceration, irrespective of location and time, since previous foot ulcer. Bandyk DF Semin Vasc Surg 2018 Jun-Dec;31(2-4):43-48. Ulcer ulcerated ulcerating ulceration ulcerative 707. RESULTS Of 194 patients with new foot ulcers, 67. Peripheral. Toggle navigation. 622 became effective on October 1, 2023. severe diabetic foot complication. Introduction. 621, E11. 621 is a billable diagnosis code used to specify type 2 diabetes mellitus with foot ulcer. The ICD code L97 is used to code Venous ulcer. E11. 1. 621, E13. Recurrent foot ulcer: New ulcer in a patient who has a history of ulceration, irrespective of location and time, since previous foot ulcer. 4 In the United States, 54% of all amputations are diabetes related, and in 85% of cases the precipitating factor is a DFU,. In the RAI-MDS 2. 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. Caring for people with ulcers and trying to. A duration of diabetes of at least 10 years.