Patient presents with a left heel ulcer.  The ulcer is located on the plantar aspect of the left heel, measuring 2.5 cm x 3.0 cm x 0.5 cm in depth.  The wound bed presents with moderate amounts of yellow slough and minimal serosanguinous drainage.  Surrounding skin is erythematous and warm to the touch, indicative of local inflammation.  Patient reports pain at the ulcer site, rated 6/10 on a pain scale, described as throbbing and worse with weight bearing.  Peripheral pulses are palpable and capillary refill is brisk.  Neuropathy assessment via monofilament test reveals diminished sensation in the left foot.  Patient denies fever, chills, or systemic symptoms.  History significant for type 2 diabetes mellitus, peripheral neuropathy, and peripheral arterial disease.  Current medications include metformin, insulin glargine, and atorvastatin.  Assessment: Left heel ulcer, likely neuropathic etiology, secondary to diabetes.  Diagnosis: Diabetic foot ulcer, left heel.  Plan: Wound care with debridement of slough, application of appropriate moist wound dressing, and offloading of the left heel with a pressure relieving boot.  Patient education provided on proper wound care, foot hygiene, and the importance of offloading.  Referral to podiatry for further evaluation and management.  ICD-10 code: E11.622, Diabetic peripheral neuropathy with foot ulcer.  CPT codes for debridement and dressing change will be determined based on the specific procedures performed.  Follow-up scheduled in one week to assess wound healing progress.  Patient advised to return sooner if symptoms worsen or new symptoms develop.