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Diabetic Foot Ulcers On a less dramatic but more insidious note, one of the major clinical diagnostic billing codes that arises for wound care is maintenance of a diabetic foot ulcer.5 These ulcers are a major cause of morbidity and mortality, accounting for approximately two-thirds of all nontraumatic amputations performed in the United States.6,7 In these patients, chronic hyperglycemic episodes lead to neuropathy and vasculopathy causing the skin to break down and progress to an ulcerative or gangrenous process, resulting in an open wound