The patient, 78-year-old female with NIDDM, is seen in the physician’s office today for evaluation of a left heel wound. After evaluation, the physician diagnosed the patient with diabetic foot ulcer due to peripheral vascular disease. The physician performed a non-excisional debridement of the wound and referred the patient to a specialist for further monitoring.

What are the ICD-9 codes for this scenario? Requires 3 diagnosis codes and 1 procedure code.

Based on the scenario provided, the ICD-9 codes for this case would include three diagnosis codes and one procedure code. Here are the relevant codes:

Diagnosis Codes:
1. 250.00 - Diabetes Mellitus without Mention of Complication, Type II or Unspecified Type, Not Stated as Uncontrolled (NIDDM stands for Non-Insulin Dependent Diabetes Mellitus, which is typically Type II diabetes)
2. 707.14 - Ulcer of Heel and Midfoot
3. 443.9 - Peripheral Vascular Disease, Unspecified

Procedure Code:
4. 86.22 - Non-excisional debridement of wound, infection or burn

Please note that these codes are based on the ICD-9 coding system, which has been replaced by ICD-10. It is recommended to use the most recent ICD-10 codes for accurate and up-to-date coding.

To determine the ICD-9 codes for this scenario, you will need to follow these steps:

1. Identify the primary diagnosis: In this case, the primary diagnosis is "diabetic foot ulcer due to peripheral vascular disease."

2. Search for the appropriate ICD-9 codes for the primary diagnosis:
- Diabetic foot ulcer: The ICD-9 code for diabetic foot ulcer is 707.10.
- Peripheral vascular disease: The ICD-9 code for peripheral vascular disease is 443.9.

3. Find additional relevant diagnoses for the patient's condition:
- NIDDM (non-insulin-dependent diabetes mellitus): The ICD-9 code for NIDDM is 250.00.

4. Search for the procedure code for non-excisional debridement:
- Non-excisional debridement: The ICD-9 procedure code for non-excisional debridement is 86.22.

Based on the information provided, the ICD-9 codes for this scenario would be:
- Diabetic foot ulcer due to peripheral vascular disease (primary diagnosis): 707.10, 443.9
- NIDDM: 250.00
- Non-excisional debridement: 86.22