DM with osteomyelitis and debridement to the bone
Patient admitted with infected diabetic foot ulcer w/ osteomyelitis. CDS queried to link the ulcer to DM which was done and CDS coded with that as Pdx. Pt had debridement of the ulcer and there was a mismatch because CDI had it at the DRG for DM and coding went to DRG for osteo. Can someone explain? I thought that with the automatic link from osteomyelitis to DM, this would stay in the Diabetes DRG? I thought Osteomyelitis DRG was for osteomyelitis without DM, or if MD specified it wasn't due to DM. Any help appreciated!