ICD-10 code I96 for Gangrene, not elsewhere classified is a medical classification as listed by WHO under the range - Diseases of the circulatory system .
262.
Necrosis is commonly documented in the patient records with traumatic wounds, burns, pressure sores etc. 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.
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.
Gangrene is a serious condition where a loss of blood supply causes body tissue to die. It can affect any part of the body but typically starts in the toes, feet, fingers and hands. Gangrene can occur as a result of an injury, infection or a long-term condition that affects blood circulation.
Overview. Gangrene is death of body tissue due to a lack of blood flow or a serious bacterial infection. Gangrene commonly affects the arms and legs, including the toes and fingers.
Necrotizing fasciitis, also known as hemolytic streptococcal gangrene, is a very rare infection that spreads deep into the body along tissue planes.
Gangrenous necrosis can be considered a type of coagulative necrosis that resembles mummified tissue. It is characteristic of ischemia of lower limb and the gastrointestinal tracts. If superimposed infection of dead tissues occurs, then liquefactive necrosis ensues (wet gangrene).
For this reason, it is often necessary to remove necrotic tissue surgically, a process known as debridement. When substantial areas of tissue become necrotic due to lack of blood supply, this is known as gangrene.
Types of gangrenedry gangrene – where the blood flow to an area of the body becomes blocked.wet gangrene – caused by a combination of an injury and bacterial infection.gas gangrene – where an infection develops deep inside the body and the bacteria responsible begin releasing gas.More items...
Dry, Wet, Gas, and Fournier's Gangrene In earlier stages, the skin may be pale and either numb or painful.
Gangrene essentially means death of tissues due to lack of blood supply and invasion of deeper tissues with infection. Gangrene may be broadly classified into two types – dry and wet gangrene. There are several other types of gangrene that are rarer. However, all types of gangrene manifest either as dry or wet form.
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.