| ICD-10 from 2011 - 2016 I70.262 is a billable ICD code used to specify a diagnosis of atherosclerosis of native arteries of extremities with gangrene, left leg. Dry gangrene affecting the toes as a result of peripheral artery disease.
S90.935A is a valid billable ICD-10 diagnosis code for Unspecified superficial injury of left lesser toe (s), initial encounter. It is found in the 2021 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021.
ICD-10-CM Diagnosis Code I96 [convert to ICD-9-CM] Gangrene, not elsewhere classified. Gangrene; Gangrene due to peripheral vascular disease; Gangrene of bilateral feet; Gangrene of both feet; Gangrene of both fingers; Gangrene of both toes; Gangrene of finger of bilateral hands; Gangrene of finger of left hand; Gangrene of finger of right hand;
ICD-10-CM Code I70.262 Atherosclerosis of native arteries of extremities with gangrene, left leg. ICD-10-CM Code. I70.262. Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.
262.
Dry gangrene occurs when the blood supply to tissue is cut off. The area becomes dry, shrinks, and turns black. Wet gangrene occurs if bacteria invade this tissue. This makes the area swell, drain fluid, and smell bad.
I70. 261 - Atherosclerosis of native arteries of extremities with gangrene, right leg. ICD-10-CM.
I96 Gangrene, not elsewhere classified.
In dry gangrene, the skin is hard and black or purplish. In earlier stages, the skin may be pale and either numb or painful. In wet gangrene, the affected area will be swollen with blisters oozing fluid; and the area may be red and warm with a foul odor.
Gangrene that's caused by an infection can usually be treated with antibiotics, which can be given as tablets or injections. Injections are usually necessary if you need surgery or you have a severe infection.
Gangrene, not elsewhere classified I96 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM I96 became effective on October 1, 2021. This is the American ICD-10-CM version of I96 - other international versions of ICD-10 I96 may differ.
Gangrene is dead tissue (necrosis) consequent to ischemia. In the image above, we can see a black area on half of the big toe in a diabetic patient. This black area represents necrosis—dead tissue—in fact, gangrene of the big toe.
Necrosis due to lack of oxygen such as with a MI would be considered part of the MI code as would any necrosis with infection in pneumonia. Gangrene would seem to be a complication of necrotic tissue.
ICD-10-CM Code for Type 2 diabetes mellitus with foot ulcer E11. 621.
Step 5: E11. 621 is a combination code describing “type 2 diabetes mellitus with foot ulcer.”
Wet gangrene may develop after a severe burn, frostbite or injury. It often occurs in people with diabetes who unknowingly injure a toe or foot. Wet gangrene needs to be treated immediately because it spreads quickly and can be deadly.
I96 has an Excludes 2 for gangrene in diabetes mellitus, and the Alphabetic Index instructs us that Type 2 diabetes “with gangrene” goes to E11.52, according to the assumptive rule.
However, I strongly object to the characterization that the “gangrene is associated with the pressure ulcer rather than the diabetes mellitus.”. Gangrene has to affect a body part (e.g., musculoskeletal system, intestine portion, gallbladder, etc.); it does not occur diffusely, i.e., directly due to diabetes.
In the first article in this series, I compared pressure ulcers and diabetic foot ulcers (the latter are considered non-pressure chronic ulcers in ICD-10-CM). My conclusion was that there is significant overlap, but heel ulcers are prime candidates to be classified as pressure injuries by providers. Ultimately, their documentation will determine whether an ulcer on the foot of a diabetic will be considered a “diabetic foot ulcer” or a pressure ulcer. This article will explore whether they are mutually exclusive conditions.
Dry gangrene affecting the toes as a result of peripheral artery disease.
The ICD code I702 is used to code Gangrene. Gangrene (or gangrenous necrosis) is a type of necrosis caused by a critically insufficient blood supply. This potentially life-threatening condition may occur after an injury or infection, or in people suffering from any chronic health problem affecting blood circulation.
When coding any non-pressure chronic ulcer classifiable to L97-, code first the underlying cause of the ulcer, if known, followed by the appropriate L97- code to identify the ulcer location, site, and severity.
Ulcers of the digits of the foot are usually classified as diabetic ulcers, but if there is documentation in the medical record that would lead you to believe the ulcers are not related to the diabetes, a query may be necessary for clarification.
Any gangrene associated with the ulcer should also be coded first (prior to the sequencing of the L97- code). Skin ulceration in a diabetic patient is assumed to be related to the diabetes, unless specified by the provider.
Atherosclerosis of native arteries of extremities with gangrene, right leg
Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene
Atherosclerosis of native arteries of right leg with ulceration of unspecified site
Atherosclerosis of native arteries of right leg with ulceration of heel and midfoot
Atherosclerosis of native arteries of right leg with ulceration of thigh
Atherosclerosis of native arteries of extremities with intermittent claudication, left leg