This 51 year old male is Type 1 insulin-dependent diabetic admitted for treatment of a grade III food ulcer which involved necrosis of the muscle on the left foot with gangrenous changes resulting from diabetic neuropathy, atherosclerosis, and chronic peripheral vascular insufficiency. Excisional debridement of the ulcer to the muscle is accomplished.

Which answer is correct?

A. 250.71, 440.23, 250.61, 357.2, 86.22
B. 250.71, 440.24, 250.61, 357.2, 707.15, 83.45
C. 250.01, 440.20, 785.4, 357.2, 707.15, 86.28
D. 250.71, 440.24, 250.61, 357.2, 707.15, 86.28

I came up with C as the answer because of the gangrene diagnosis. Is this correct?

Try

http://www.findacode.com/
to help you look up the codes if you don't have access to any.

Do remember that if you are coding for medical billing, you need the codes for acts performed, not the diagnoses.

To determine the correct answer, we need to understand the codes provided and match them with the patient's diagnosis and treatment.

Let's break down the codes given and compare them to the patient's condition:

A. 250.71, 440.23, 250.61, 357.2, 86.22
B. 250.71, 440.24, 250.61, 357.2, 707.15, 83.45
C. 250.01, 440.20, 785.4, 357.2, 707.15, 86.28
D. 250.71, 440.24, 250.61, 357.2, 707.15, 86.28

Code 250.xx: This is a diabetes mellitus code. The specific type is necessary to determine whether it is relevant to the patient's Type 1 insulin-dependent diabetes.

Code 440.xx: This is a code related to peripheral arterial disease (atherosclerosis), which is mentioned in the patient's medical history in the context of chronic peripheral vascular insufficiency.

Code 785.4: This code corresponds to gangrene. It is mentioned in the patient's history with the description of "gangrenous changes."

Code 357.2: This code refers to diabetic peripheral neuropathy. The patient is described as having diabetic neuropathy.

Code 707.15: This code is related to ulceration of the lower limb, which aligns with the patient's presentation of a grade III foot ulcer.

Code 86.xx: This is a code related to surgical procedures. It is mentioned here because the patient underwent excisional debridement of the ulcer to the muscle.

After analyzing the codes given, we can see that option D (250.71, 440.24, 250.61, 357.2, 707.15, 86.28) is the correct answer. It includes all the relevant diagnoses and treatments mentioned in the patient's medical history.

Therefore, the correct answer is D.