5 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 713. E11. While the common underlying cause of Charcot neuroarthropathy is diabetes mellitus, it is also associated with congenital insensitivity to pain (CIP). 0 - other international versions of ICD-10 G60. Charcot's joint, unspecified site; Arthropathy associated with a neurological disorder; Arthropathy associated with neurological disorder; Charcot arthropathy due to syringomyelia; Charcots joint in syringomyelia. Charcot neuroarthropathy (CN) involving the foot though an uncommon complication of diabetes is associated with significant adverse consequences in the form of foot deformities, amputation and early mortality similar to neuropathic foot ulcers [1,2,3,4,5]. Charcot neuroarthropathy (CN) is a syndrome that was first described over 300 years ago. 039-1. This includes a discussion of early diagnosis, medical management, surgical intervention, and patient expectations. 68 - other international versions of ICD-10 M14. Short description: Type 2 diabetes mellitus w diabetic. ICD-10-CM Codes. The risk of getting a Charcot foot is not related to the type (I or II) of diabetes mellitus. 2. 034). Introduction. 16 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. [] They found that in patients with medial deformities, a lateral talar–first metatarsal angle more negative than –27. Not allG98. Charcot neuroarthropathy (CN) is a progressive neuropathic complication of diabetes mellitus. 612 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Spondylosis without myelopathy or radiculopathy, site unspecified. Exostectomy of bony prominences is a. Charcot foot can be a very serious condition and can be difficult to diagnose, treat and manage, so it is very important that it is treated and managed by experienced health. 01) indicating that cutaneous microvascular reactivity is more impaired in DPN than in. 1016/j. 610; Convert to ICD-9-CM Code. We only considered studies written in English of human subjects. foot can become deformed, making it difficult to walk. ObesityThe medical records of patients treated between 1986 and 2009 with Charcot arthropathy and rheumatoid arthritis were reviewed. 05 years, 57. A new natural history of Charcot foot: clinical evolution and final outcome of stage 0 Charcot neuroarthropathy in a tertiary referral diabetic foot clinic. 16Neuropathic arthropathy (or neuropathic osteoarthropathy), also known as Charcot joint (often "Charcot foot"), refers to progressive degeneration of a weight bearing joint, a. It primarily affects individuals with peripheral neuropathy, leading to the loss of protective sensation and altered biomechanics. 39 became effective on October 1, 2023. codes diagnosis. Subscribe to Codify by AAPC and get. Arthropathies. Diabetic Neuropathy 5. Arthropathies. 2. Charcot neuroarthropathy (CN) is a progressive, non-infectious, destructive, inflammatory process of the foot and ankle and is a known complication of neuropathy. ICD-10-CM/PCS MS-DRG v39. Charcot arthropathy may develop if you have diabetes and you fracture your foot or ankle. 039. The purpose of this study was to portray the impact of comorbidities on inpatient cost and utilization in Charcot neuroarthropathy (CN) patients. [31] Rastogi A, Prakash M, and Bhansali A. It is found in the 2023 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2022 - Sep 30, 2023 . J Foot Ankle Surg. diabetes have been diagnosed for a period >10 years . CIP is a rare disorder caused by loss-of. M14. 1 The pathogenesis of CN was classically described by French physician Jean Martin Charcot 2 in 1883 but a complete knowledge of this challenging condition continues to evolve to. 679 became effective on October 1, 2023. Acute Charcot arthropathy should be suspected if redness, warmth, swelling, or deformity (particularly if the skin is intact) is noted, especially in the presence. Prior foot or ankle surgery of the ipsilateral lower extremity. This is the first guideline on the diagnosis and treatment of active Charcot neuro-osteoarthropathy in persons with diabetes publ. J Am Podiatr Med Assoc. The authors assert that combining distal tibial distraction osteogenesis with. Unilateral involvement of CN is much more common than bilateral [21]. Charcot can occur multiple times throughout one’s lifetime, without a significant triggering event. This is the American ICD-10-CM version of M14. 1 - Restlessness and agitation. Methods: A large online database from 2011-2021 was retrospectively queried using CTP and ICD codes. Methods In this prospective study, 26 patients with CN of the foot proved by MRI were enrolled. The largest. Charcot’s Neuroarthropathy (CN), or Charcot’s osteoneuroarthropathy [], is an osteoarticular pathology with descriptions of the involvement of various body segments, such as the knee, spine, shoulder, hip, and wrist, but the foot and ankle are the most frequently affected segments []. 1 and 7. ICD-10 code M14. 8 months post surgery;. The presentation of infection can be divided into two parts: infection in the acute or active Charcot foot and infection. The PearlDiver database includes hospital and physician billing records as well as. 1016/j. 610 became effective on October 1, 2023. Diabetic neuroarthropathy. foot can become deformed, making it difficult to walk. 2 The collapse of the midfoot and of the. Short description: Charcot's joint, ankle and foot. This is the American ICD-10-CM version of M14. In acute Charcot neuroarthropathy, osteoclast. Hereditary motor and sensory neuropathy, types I-IV. ICD-10-CM; DRGs; HCCs; ICD-11; SNOMED CT; ICD-9-CM. Home > 2013 ICD-9-CM Diagnosis Codes > Diseases Of The Musculoskeletal System And Connective Tissue 710-739 > Arthropathies And Related Disorders 710-719. J Am Acad Orthop Surg. ICD-10-CA codes related to the COVID-19 pandemic have been added (see Table 12). A Charcot arthropathy diagnosis was determined by an ICD-9-CM diagnostic code 713. Charcot's arthropathy (tabetic) Billable Code. ICD-10-CM Range E08-E13. NCD) Coding Policy Manual and Change Report (ICD-10-CM; Glycosylated Hemoglobin-A1c-OH-Medicaid; Charcot Neuroarthropathy: Pathogenesis, Diagnosis and Medical Management; When Is the Osteoarthritis Label Inappropriate: Clarification of Diagnosis and Responsibility for Clinical SignificanceCharcot neuroarthropathy's (CN) anatomic classification was originally formulated by the Brodsky article and the Trepman et al modification, including midfoot (type 1), rearfoot (type 2), ankle (type 3a), calcaneus (type 3b), multiarticular (type 4), and forefoot (type 5). Charcot neuroarthropathy, also known as Charcot foot, is a complication of diabetes mellitus where there is progressive degeneration of the joints, but it. This disorder is often initiated by trauma to a neuropathic extremity, the trauma then progresses to the bones and joints of the extremity leading to a limb-threatening condition seen in the late complication of diabetes [ 2 ]. Diabetes Type 1 2. M24. After introduction of the super construct concept, promising results were reported, however there is a need for further studies on this concept. 67. ICD-10-CM Codes. The Charcot foot syndrome is a complex complication of diabetes and neuropathy. 0 - other international versions of ICD-10 G98. Arthropathies in other diseases classified elsewhere (M14) Charcot's joint, ankle and foot (M14. Hospitalization for Charcot neuroarthropathy in diabetes: A population study in Italy Diabetes Res Clin Pract. Diabetes mellitus with the lack of glycemic control increases risks for developing comorbidities affecting organ systems responsible for critical function. This study aimed to investigate the factors associated with CN in patients who had undergone. M14. 0); curvature of spine in tuberculosis [Pott's]. Diabetic Charcot neuroarthropathy (DCN) is a devastating complication for people with diabetes mellitus. A possible explanation is that the ankle represents a ‘hinge’ between the foot and the rest of the body, and the. Similar changes are seen with other neurologic disorders, such as syringomyelia, although diabetes is the most common cause of neuropathic (Charcot) arthropathy in the western world. 610. L97. 67. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . 3 ± 12. Also called Charcot joint or neuropathic joint, Charcot arthropathy is a progressive condition of the musculoskeletal system that is characterized by joint dislocations, pathologic fractures, and debilitating deformities. ICD-10-CM Diagnosis Code M02. Charcot's joint, right ankle and foot Billable Code. Radiologic evaluation of the chronically painful knee in adults. Approximate Synonyms. Diabetic foot problems are a major health concern and a common cause of hospitalization. 10 11 12 It is estimated that 0. Charcot neuroarthropathy (CN) was first described by neurologist Jean-Martin Charcot in 1868 in a group of patients with syphilis, but the mystery of pathophysiology remains ( 1 – 3 ). 02) and low heterogeneity (I 2 = 4%, T 2 = 0. 671. - Charcot's joints - E11. To confirm the diagnosis of Charcot arthropathy, refer the person within 1 working day to the multidisciplinary foot service for triage within 1 further working day. Similar changes are seen with other neurologic disorders, such as syringomyelia, although diabetes is the most common cause of neuropathic (Charcot) arthropathy in the western world. EPIDEMIOLOGY. S. Charcot neuroarthropathy has been recognised for over 130 years and yet it remains a major cause of morbidity for patients with diabetes mellitus and a continuing challenge for physicians. (ICD-9/ICD-10) codes for all patients undergoing ankle fusion procedures (Appendix A). 671 is a valid billable ICD-10 diagnosis code for Charcot's joint, right ankle and foot . G60. Results are often poor and no clear guidelines for surgical management exist. This condition, which is also known as Charcot arthropathy, Charcot joint, or neuropathic arthropathy, affects the soft. 2000 Nov. Short description: Poisoning by cocaine, accidental (unintentional), init The 2024 edition of ICD-10-CM T40. 0 - other international versions of ICD-10 G60. The absence of pain. Neuroarthropathy in diabetes: pathogenesis of Charcot arthropathy. 224. ICD-10-CM 2023 Coding Guide™ from Unbound Medicine. Robinson. Charcot arthropathy. A below-knee amputation was required (e, f). 05. ICD-10-CM Diagnosis Code M14. 5) ICD-10-CM Diagnosis Code M26. Medical advances have. 610 became effective on October 1, 2023. 90) Holmes et al. 2020. Charcot neuroarthropathy (CN) was first described over 150 years ago. Despite the fact that its description was published almost 130 years ago, its pathophysiology, diagnosis, and treatment remain areas that need to be described. Déjérine-Sottas disease. This is the American ICD-10-CM version of M21. Hereditary motor and sensory neuropathy, types I-IV. 3-7. Inflammatory polyarthropathies. 5º was the greatest predictor of. 0 may differ. 2, 95% CI: 1. Figure 2 illustrates a case of rocker-bottom foot deformity with an ulcer (case 5) and forefoot 6 × 6 butt frame. 60 and 250. Table 1 shows patient data and Figure 1 , duration in frame. Methods Two cohorts, CN and diabetic peripheral neuropathy (DPN), were identified by ICD-9 codes in the California Office for Statewide Health Planning and Development 2009–2012 public. Diagnosis can be made clinically with a warm and erythematous foot with erythema that decreases with foot elevation. Osteopenia, neurological dysfunction, and the development of Charcot. 574 may differ. J Foot Ankle Surg. 67 became effective on October 1, 2023. It is a result of nerve damage to the feet. Abstract. The disease is frequently misdiagnosed resulting in a delay of appropriate treatment, worsening the outcome. ICD-10. ICD 10 code for Other specified diabetes mellitus with diabetic neuropathic arthropathy. 61, and with Charcot's. 67. View in. doi: 10. Diabetic patients with comorbidities had complications at a higher rate (ten patients; 47%) than matched controls (three patients; 14%, p = 0. 2024 ICD-10-CM Codes. asymptomatic craze lines in enamel - omit code; broken or fractured tooth due to trauma (S02. 10. Authors Joon Ha 1. 30112582. Unfortunately, development of an effective prevention and treatment. Charcot Joints[/b] Historically, Charcot Joints were the result of advanced and severe Syphilitic brain/cerebral disease (Tabes Dorsalis). Originally described by Jean Marie Charcot in the late nineteenth century as an end. 669. ICD-10. (ICD-10), and Current Procedural Technology (CPT®) codes. 301 Best answers 0 May 10, 2017 #2 Charcot Joints Historically, Charcot Joints were the result of advanced and severe Syphilitic brain/cerebral disease (Tabes. Purchase The Essentials of Charcot Neuroarthropathy - 1st Edition. R. 1%) were diagnosed at a pediatric department. Previous studies showed COOH-terminal telopeptide region of type 1 collagen (1CTP) and bone-specific alkaline phosphatase (BALP) as useful. Total knee arthroplasty (TKA) is an effective procedure to treat many patients with end-stage knee arthropathy. In The. This is the American ICD-10-CM version of Z98. seen early in the disease, which may lead to ankylosis of the entire joint. Charcot Neuroarthropathy The typical patient who develops CN is in the 6th decade of life, has been diagnosed with DM for at least 10 years and is morbidly obese. What Is Charcot Arthropathy? Charcot arthropathy, also known as Charcot neuroarthropathy or Charcot foot and ankle, is a syndrome in patients who have peripheral neuropathy, or loss of sensation, in the foot and ankle. The clinical presentation of Charcot arthropathy can vary widely depending on the stage of the disease. Charcot Reconstruction: Understanding and Treating the Deformed Charcot Neuropathic Arthropathic Foot Clin Podiatr Med Surg . 1% to 0. 00 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 671 became effective on October 1, 2023. Pathogenesis is not fully understood, although, recently, autoantibodies against oxidative post-translational modified collagen, particularly type 2 collagen have. Charcot-Marie-Tooth disease (G60. The largest epidemiological study was conducted in Denmark among 309,557 people with diabetes identified from hospital codes over a 23-year period. 67. #### Key points A 38 year old man was referred by his general practitioner to our diabetes foot clinic with a swollen red foot (fig 1⇓). Charcot foot is a rare and disabling disorder. Spencer Monaco , Patrick Burns , Alissa Toth. 13. New theories on the causes of the Charcot foot in diabetes. 1007/s11892-018-1047-8. 11M14. 2017 Jul;129:25-31. 612 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Charcot neuroarthropathy is a systemic disease that generates pathological changes in the musculoskeletal system, causing instability, dislocations, and deformities [], first named by Jean Martin Charcot (1829–1893) in 1868 []. Applicable To. 0 software (SpeedTrack, Inc. The resulting "neuropathy" from syphilis caused loss of multiple aspects of sensation (particularly pain sensation), loss of strength and coordination in the limbs. 0 became effective on October 1, 2023. 0 - A30. Despite this there remains uncertanity around the factors that contribute to its development, and progression. 671 became effective on October 1, 2023. The 2024 edition of ICD-10-CM M35. J Clin Transl Endocrinol. 621 diabetes mellitus with. Charcot neuro-osteoarthropathy (CN) is a rare condition resulting from distal peripheral neuropathy. At the foot and the ankle, diabete s and polyneuropathy are the most frequent causes 1. This damage is more common in people with type 1 diabetes. Using the CUPID 2. Arthropathies. 610 is a valid billable ICD-10 diagnosis code for Type 2 diabetes mellitus with diabetic neuropathic arthropathy . Contracture, right foot. 68 became effective on October 1, 2023. 9 may differ. The International Working Group on the Diabetic Foot (IWGDF) has published evidence-based guidelines on the prevention and management of diabetic foot disease since 1999. The development of diabetic neuropathy predisposes patients to the onset of Charcot. 68 may differ. 641 became effective on October 1, 2023. 08% in the general diabetic population to 13% in high-risk diabetic patients 10 and 29% in patients with established peripheral neuropathy. In the absence of fever, elevated CRP or ESR, infection is a highly unlikely diagnosis, and a Charcot process should primarily be considered. Patients with Charcot Neuroarthropathy that underwent a BKA had an increased risk of developing phantom limb compared to patients that underwent a BKA without Charcot (RR: 1. 0 became effective on October 1, 2023. Charcot's neuroarthropathy can have devastating consequences if left untreated or misdiagnosed. 60. Search online 72,000+ ICD-10 codes by number, disease, injury, drug, or keyword. Charcot neuroarthropathy: an unusual case and a review of the literature. Early symptoms of Charcot foot include: Foot pain. Patients were separated into two groups. 10–12 About half of Charcot patients present with pain, as did our patient. 00 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. ICD-10-CM Diagnosis Code O35. Causes. 1 Definitions Manual: Skip to content: Appendix C: Principal diagnoses which convert CC/MCC to non-CC. Diabetes Care 2005;28:984 – 5 . 1999;38:34-40. It is found in the 2023 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2022 - Sep 30, 2023 . In 1868, the famous neuropathologist Jean-Martin Charcot first described the condition of “Charcot. This is the American ICD-10-CM version of Z14. Charcot's disease (tabetic arthropathy) A52. 5. },. 2008. Arthropathies. Records of foot deformities were included; A range of motion test of the ankle joint was. 3 This diagnosis is one that is frequently misdiagnosed 4 or undiagnosed in approximately 25% of cases 5. Results are often poor and no clear guidelines for surgical management exist. Specialty:A Charcot foot can develop as a serious complication of diabetes, where progressive destruction of the bones and joints of the foot leads to deformity, increasing the risk of developing diabetic ulcers and. Diabetes is the most common cause of this type of nerve damage. Charcot neuropathic osteoarthropathy (CN) is a chronic, progressive condition of bones, joints, and soft tissues, most commonly occurring in the area of the foot and ankle as a result of. 3. The main aim of reconstruction in Charcot patients is to achieve a stable, shoe-able, plantigrade and painless foot that is free from. 671) or Charcot. 1% to 8%. It is found in the 2023 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2022 - Sep 30, 2023 . An overview of Charcot’s neuroarthropathy. Diabetic Charcot Neuropathy is a chronic and progressive disease that occurs as a result of loss of protective sensation which leads to the destruction of foot and ankle joints and surrounding bony structures. 00 - other international versions of ICD-10 M35. Charcot neuroosteoarthropathy (CNO) can lead to disruption of the bone architecture of the foot (). 67 : M00-M99. 2006;5(3): 207-212. Charcot neuroarthropathy rarely affects joints other than the foot and ankle in diabetes (). Acute Charcot arthropathy almost always presents with signs of inflammation. Epidemiology. 55 (3):586-90. The onset of CNA is usually insidious. We found three patients with CN of the knee (all female; patient A: 25 years old, type 1 diabetes for 10 years, HbA 1c was 11. M14. Diabetes Mellitus: An Overview in Relationship to Charcot Neuroarthropathy. 32 A Charcot joint may apply to any joint in the body,. Charcot neuropathic osteoarthropathy is a destructive joint disorder initiated by trauma to a neuropathic extremity. ). 2, 3, 12, 24 – 26, 30, 38, 39. 009A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. E11. 610 ICD-10 code E11. Jean-Martin Charcot first described it in 1868 in patients with tabes dorsalis [3]. The updated code also does not use letters "I" or "O" to avoid confusion with 1 and 0. Updates on Diabetic Foot and Charcot Osteopathic Arthropathy. Patients were separated into two groups. 610 for Type 2 diabetes mellitus with diabetic neuropathic arthropathy is a medical classification as listed by WHO under the range - Endocrine, nutritional and metabolic diseases . 10. Charcot neuroarthropathy (CN), also known as neuropathic arthropathy, is an inflammatory arthropathy associated with bony destruction, fracture, dislocation,. 549 may differ. Prior Authorization Information Commercial Members: Managed Care (HMO and POS). 5% (2063/10570). ICD-10 Games Learn codes with classic games like Flashcards and Hangman. The prototype of this disorder was described by Charcot in relation to tabes dorsalis. The 2024 edition of ICD-10-CM M14. Its destructive effects on the foot and ankle begin with a cycle of uncontrolled inflammation. ICD-10 Codes for Orthotic/Prosthetic - Diabetic Shoe . Search online 72,000+ ICD-10 codes by number, disease, injury, drug, or keyword. Some of these problems can. Inflammation and the balance of pro-/anti-inflammatory cytokines. The mean patient age was 56. This systematic review of relevant studies that were published. S82. Evaluation of diabetic neuroarthropathy guides treatment. Short description: Type 1 diabetes mellitus w diabetic neuropathic arthropathy The 2024 edition of ICD-10-CM E10. Inflammatory polyarthropathies. 1016/j. Neuropathic (Charcot’s) arthropathy of the spine is a relatively rare problem that, nonetheless, must always be considered in the differential diagnosis of any patient with degenerative. 0. Maternal care for other (suspected) fetal. 2273; Neuropathic arthropathy (or neuropathic osteoarthropathy ), also known as Charcot joint (often Charcot foot) after the first to describe it, Jean-Martin Charcot, refers to progressive degeneration of a weight-bearing joint, a process marked by bony destruction, bone resorption, and eventual deformity due to loss of sensation. About the ICD-10 Code Lookup. The prognosis of rearfoot and ankle CN deformity is universally accepted as poorer than that of forefoot and midfoot deformities. Correct diagnosis and treatment of. 14. 2 to 0. Short description: Arthropathy w nerve dis. 5 5. We analysed the ICD-10 codes, which encrypt trophic disorders on the feet in patients with diabetes mellitus. Type 1 Excludes. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . Objectives Our aim was to characterize the ultrasonographic features of patients with acute Charcot neuroarthropathy (CN) of the foot. Charcot neuroarthropathy ( CN) is a rare, progressive, deforming disease of bone and joints, especially affecting the foot and ankle and leading to considerable morbidity. 3 ± 12. People with Charcot neuroarthropathy are usually in their 50 s or 60 s, and most have had diabetes for at least 10 years [12], [18], [13], [19], [20]. Charcot neuro-osteoarthropathy (CN) is an infrequent but severe complication of diabetic peripheral neuropathy that is estimated to affect 0. ICD-10 codes not covered for indications listed in the CPB (not all-inclusive): A30. The development of diabetic neuropathy predisposes patients to the onset of Charcot. The rate of phantom limb in patients without Charcot Foot was 19. 0b013e318292eecb. 08% to as high as 13% for this. 18 Mean follow-up from index procedure was 17. Charcot neuroarthropathy develops in approximately 0. Search All ICD-10 Toggle Dropdown. 0):. 60 - other international versions of ICD-10 M14. Charcot neuroarthropathy is a devastating orthopedic condition that afflicts patients with diabetes. Drug induced diabetes with charcot arthropathy; Neuropathic arthropathy due to drug induced diabetes mellitus; ICD-10-CM E09. 025. , Placentia, CA), patients were identified in the Office of Statewide Health Planning and Development (OSHPD) public patient discharge files based on ICD-9-CM codes (International Classification of Disease, Ninth Revision, Clinical Modification Code), which are listed in Table 1. This is the American ICD-10-CM version of M14. Importantly, 25% of patients experience a delayed or missed diagnosis. Diabet Foot Ankle. The 2023 edition of ICD-10-CM M14. , Turpin R. Charcot-Marie-Tooth disease. ICD – 10 Code for our Charcot foot: E10. . 8 - other international versions of ICD-10 Z14. Among Charcot patients, 538 (59%) were treated for foot. Initial diagnosis and management for acute charcot neuroarthropathy. 6 million with 41. Onset is usually insidious. Learn more about the causes, symptoms, and stages of Charcot's. 679 - other international versions of ICD-10. 2011;2. 67) M14. McCaskie, A. 671. All had multiple complications of the. This review. 9 - other international versions of ICD-10 G60. The best. 34 [convert to ICD-9-CM]. 5%, but regarding diabetic patients with apparent peripheral neuropathy, this prevalence is increasing up to 35% . Search All ICD-10; ICD-10-CM Diagnosis Codes; ICD-10-PCS Procedure Codes; ICD-10-CM Diagnosis Index; ICD-10-CM External Causes Index; ICD-10-CM Table of Drugs; ICD-10-CM Table of Neoplasms; HCPCS Codes; ICD-9-CM Diagnosis Codes; ICD-9-Vol-3 Procedure Code; Search All Data ICD-10-CM Code for Type 2 diabetes mellitus with diabetic neuropathic arthropathy E11. BackgroundCharcot neuroarthropathy of the ankle and the hindfoot is a complex clinical entity with a high risk of amputation. Charcot neuroarthropathy (CN) is a destructive complication of the joints in patients with diabetes and should be managed from the onset of the first symptoms to avoid joint deformity and the risk of amputating the affected joint. 2019. doi: 10. 671 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.