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Patient workup for diabetic ulcers includes blood tests, radiography, ankle-brachial index and toe pressure, pulse-volume recording, ultrasonography, computed tomography (CT) scanning or magnetic resonance imaging (MRI), bone scans, and angiography.
Your feet will be examined. Numbness or changes in sensation (also known as neuropathy) will be tested with a special piece of equipment. Theyll also check your shoes to make sure theyre not causing any problems. Youll also be asked lots of questions about your feet and how you manage your diabetes.
Diabetes Foot Care Guidelines Inspect your feet daily. Bathe feet in lukewarm, never hot, water. Be gentle when bathing your feet. Moisturize your feet but not between your toes. Cut nails carefully. Never treat corns or calluses yourself. Wear clean, dry socks.
People with diabetes usually need to have a complete diabetic foot exam at least once a year to help prevent serious infections. But if youve had foot problems from diabetes, you may need to have a complete foot exam more often.
2024 ICD-10-CM Diagnosis Code Z13. 1: Encounter for screening for diabetes mellitus.

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Your provider will check: The skin of your feet to look for dryness, cracking, calluses, blisters, ulcers, and other damage or abnormal areas. Your toenails for cracks and fungal infection. The temperature of your feet to see if they are the same.
The following protocol has been developed for patients with diabetic foot ulcers: (1) measurement of the wound by planimetry; (2) optimal glucose control; (3) surgical debridement of all hyperkeratotic, infected, and nonviable tissue; (4) systemic antibiotics for deep infection, drainage, and cellulitis; (5) offloading
This is documented by billing a relevant CPT II code for the Diabetic Foot Exam (2028F, G0245, G0246, G9226).
The foot examination should include inspection, assessment of foot pulses, and testing for loss of protective sensation (10-g monofilament plus testing any one of: vibration using 128-Hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold). American Diabetes Association (ADA).
This is documented by billing a relevant CPT II code for the Diabetic Foot Exam (2028F, G0245, G0246, G9226).

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