By Jeffrey D. Lehrman, DPM, FASPS

Seven out of the eight MACs have LCDs regarding debridement of chronic ulcers. Some of them have a restriction that will not allow payment for debridement to the depth of muscle/fascia (CPT 11043) and/or bone (CPT 11044) if one performs debridement in an office setting. This is wrong for multiple reasons and Medicare should not do this.

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By Brittany Mayer, DPM, and Jacob Wynes, DPM, MS, FACFAS

Complications of first ray surgery range from non-union to osteomyelitis. These authors provide a guide to preventing and revising failures in first ray surgery, emphasizing preoperative planning and sound surgical principles for revision techniques. 

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By Alan C. Stuto, DPM, Crystal L. Ramanujam, DPM, MSc, FACFAS, and Thomas Zgonis, DPM, FACFAS

These authors discuss salient considerations for patient selection for plastic surgery in the diabetic foot and wound preparation techniques, and offer pearls on a variety of flaps ranging from rotational flaps and local muscle flaps to pedicle flaps and perforator flaps.

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