Vague or General Diagnosis ñ An additional descriptor or adjective would provide a more accurate diagnosis
Pt. has had a left leg ulcer which would not heal. Condition necessitated BKA, and path reflected atherosclerotic vascular disease. Patient has a hx of DM, yet documentation does not draw a relationship between the ulcers/vascular condition and DM.
Ulcers with BKA DM w/ulcers w/BKA
Reimbursement - $3,068.00 Reimbursement - $11,122.00