ICD-10 Coding for Gangrene Foot(E11.52, I70.261)
Complete ICD-10-CM coding and documentation guide for Gangrene Foot. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Gangrene Foot
E11.52Primary Range
Type 2 diabetes mellitus with gangrene
Primary code for gangrene when associated with diabetes.
Atherosclerosis of native arteries of extremities with gangrene
Used when gangrene is due to peripheral artery disease.
Gangrene, not elsewhere classified
Used when gangrene is not linked to diabetes or atherosclerosis.
Non-pressure chronic ulcer of lower limb, not elsewhere classified
Used for ulcers associated with gangrene.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E11.52 | Type 2 diabetes mellitus with gangrene | Use when gangrene is directly linked to diabetes. |
|
| I70.261 | Atherosclerosis of native arteries of extremities with gangrene, right leg | Use when gangrene is due to atherosclerosis. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for gangrene foot
Essential facts and insights about Gangrene Foot
Primary ICD-10-CM Codes for gangrene foot
Decision Criteria
clinical Criteria
- Presence of diabetes and gangrene
Applicable To
- Gangrene due to diabetes
Excludes
- Gangrene not due to diabetes
Clinical Validation Requirements
- Documented diabetes mellitus
- Presence of gangrene confirmed by clinical examination or imaging
Code-Specific Risks
- Incorrectly linking gangrene to diabetes without documentation
Coding Notes
- Ensure documentation clearly links gangrene to diabetes.
I70.261 - Atherosclerosis of native arteries of extremities with gangrene, right leg
Use when gangrene is due to atherosclerosis.
Applicable To
- Gangrene due to atherosclerosis
Excludes
- Gangrene due to diabetes
Clinical Validation Requirements
- Documented atherosclerosis
- Presence of gangrene confirmed by clinical examination or imaging
Coding Notes
Ensure documentation specifies atherosclerosis as the cause.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Long term (current) use of insulin
Z79.4Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Gangrene Foot to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E11.52.
Impact
Clinical: Inadequate treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.
Mitigation Strategy
Include detailed descriptions of necrosis depth in documentation.
Impact
Reimbursement: May lead to denied claims or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data.
Mitigation Strategy
Always document and code the specific side affected.
Impact
Risk of audit if gangrene is coded as diabetic without explicit documentation.
Mitigation Strategy
Ensure all documentation explicitly links gangrene to diabetes.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Gangrene Foot, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Gangrene Foot
Use these documentation templates to ensure complete and accurate documentation for Gangrene Foot. These templates include all required elements for proper coding and billing.
Diabetic foot with gangrene
Specialty: PodiatryRequired Elements
- Patient history
- Physical examination findings
- Imaging results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Gangrene Foot? Ask your questions below.