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A doctor takes a patient to surgery. The patient has uncontrolled diabetes mellitus (type II) with a peripheral circulatory disorder and gangrene of his bilateral great toes, and he has a 20-year history of cigarette smoking. The surgeon performs an amputation of both great toes, at the metatarsophalangeal joints. Code the diagnoses and procedure for this scenario.

User Roxana
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Final answer:

The patient's conditions would be coded with specific ICD codes for uncontrolled Type II diabetes mellitus, peripheral circulatory disorder, and gangrene, while the surgical procedure would be coded for the amputation of both great toes. It is crucial to document all diagnoses accurately to facilitate appropriate treatment and billing.

Step-by-step explanation:

The scenario involves a patient with uncontrolled Type II diabetes mellitus, peripheral circulatory disorder, gangrene of bilateral great toes, and a significant history of cigarette smoking. The diagnoses for this patient may involve several ICD codes such as diabetes with circulatory complications and gangrene, while the surgical procedure performed is the amputation of both great toes at the metatarsophalangeal joints. Medical coding for diagnoses and procedures is based on specific guidelines and codes that accurately reflect the patient's condition and the treatment provided.

Additionally, the complications of diabetes such as gangrenous inflammation and the risk of amputation due to necrosis are indicated. The involvement of potential anaerobic infections like gas gangrene by C. perfringens in diabetic foot ulcers could also be a relevant aspect for diagnosis. Therefore, it is essential to document and code all aspects of the patient's condition to ensure proper treatment and billing.

User PeteT
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