Diagnosis Code Z86.31
Information for Medical Professionals
The following edits are applicable to this code:
Unacceptable principal diagnosis Unacceptable principal diagnosis
There are selected codes that describe a circumstance which influences an individual’s health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.
Convert to ICD-9 General Equivalence Map
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
- V12.29 - Hx-endocr/meta/immun dis (approximate) Approximate Flag
The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
Present on Admission (POA) Present on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.
The code Z86.31 is exempt from POA reporting.
- History of admission in last year for diabetes foot problem
- History of diabetic foot ulcer
Index of Diseases and Injuries
References found for the code Z86.31 in the Index of Diseases and Injuries:
- Type 2 Excludes Notes: "And"
The word “and” should be interpreted to mean either “and” or “or” when it appears in a title.
- current diabetic foot ulcer (E08.621, E09.621, E10.621, E11.621, E13.621)
Information for Patients
If you have diabetes, your blood glucose, or blood sugar, levels are too high. Over time, this can damage your nerves or blood vessels. Nerve damage from diabetes can cause you to lose feeling in your feet. You may not feel a cut, a blister or a sore. Foot injuries such as these can cause ulcers and infections. Serious cases may even lead to amputation. Damage to the blood vessels can also mean that your feet do not get enough blood and oxygen. It is harder for your foot to heal, if you do get a sore or infection.
You can help avoid foot problems. First, control your blood sugar levels. Good foot hygiene is also crucial:
- Check your feet every day
- Wash your feet every day
- Keep the skin soft and smooth
- Smooth corns and calluses gently
- If you can see, reach, and feel your feet, trim your toenails regularly. If you cannot, ask a foot doctor (podiatrist) to trim them for you.
- Wear shoes and socks at all times
- Protect your feet from hot and cold
- Keep the blood flowing to your feet
NIH: National Institute of Diabetes and Digestive and Kidney Diseases
- Diabetes - foot ulcers
- Diabetes - taking care of your feet
- Foot amputation - discharge
- Leg or foot amputation - dressing change
- Take Care of Your Feet for a Lifetime - NIH - Easy-to-Read (National Diabetes Education Program)