ICD-10-CM Diagnosis Code S93.102A [convert to ICD-9-CM] Unspecified subluxation of left toe (s), initial encounter Left toe subluxation; Subluxation of left toe joint ICD-10-CM Diagnosis Code I70.262 [convert to ICD-9-CM] Atherosclerosis of native arteries of extremities with gangrene, left leg
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.
ICD-10-CM Diagnosis Code S93.142A [convert to ICD-9-CM] Subluxation of metatarsophalangeal joint of left great toe, initial encounter. Subluxation of MTP joint of left great toe, init; Left great toe subluxation; Subluxation of metatarsophalangeal joint of left great toe. ICD-10-CM Diagnosis Code S93.142A.
2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code. ICD-10-CM Diagnosis Code Q69.2 [convert to ICD-9-CM] Accessory toe (s) Polydactyly of bilateral toes; Polydactyly of left toes; Polydactyly of right toes; Polydactyly of toes; Polydactyly of toes of left foot; Polydactyly of toes of right foot; Accessory hallux.
If the gangrene is internal, you may run a fever and feel unwell, and the area may be swollen and painful. Gangrene is a serious condition. It needs immediate attention.
Information for Patients. Gangrene is the death of tissues in your body. It happens when a part of your body loses its blood supply. Gangrene can happen on the surface of the body, such as on the skin, or inside the body, in muscles or organs.
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. The coding guidelines remind us of the “basic rule of coding…that further research must be done when the title of the code suggested by the Alphabetic Index clearly ...
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.
mitchellde. The only diabetes code that states with gangrene is for peripheral angiopathy with gangrene. If the patient has this condition and the diabetic foot ulcers, then code both conditions and you may use the peripheral angiopathy with gangrene first listed.
However if that is not the diagnosis and it states only dues ethic foot ulcers with gangrene, then you code the with foot ulcers code and add the L97 code that applies which will probably be the one that indicates with necrosis of muscle or necrosis of bone.
DM gangrene has higher DRG when coded but there's a confusing statement on the coding handbook for DM complications that foot ulcer code should be assigned first with additional code for the ulcer site and, if gangrene is present, it should be assigned as an additional code.