ICD-10 Coding for Gangrene of Left Foot(I70.262, E11.52, I96)
Complete ICD-10-CM coding and documentation guide for Gangrene of Left Foot. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Gangrene of Left Foot
I70-I79Primary Range
Diseases of arteries, arterioles, and capillaries
Includes atherosclerosis with gangrene, which is a common cause of gangrene in the foot.
Diabetes mellitus
Includes diabetes with gangrene, which is a frequent underlying condition for gangrene.
Non-pressure chronic ulcer of lower limb, not elsewhere classified
Covers ulcers with gangrene, often seen in diabetic patients.
Gangrene, not elsewhere classified
Used when gangrene is present without a specified underlying cause.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I70.262 | Atherosclerosis of native arteries of left leg with gangrene | Use when gangrene is due to atherosclerosis in the left leg. |
|
| E11.52 | Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene | Use when gangrene is due to diabetic complications. |
|
| I96 | Gangrene, not elsewhere classified | Use when no specific etiology is documented. |
|
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 of left foot
Essential facts and insights about Gangrene of Left Foot
Primary ICD-10-CM Codes for gangrene of left foot
Decision Criteria
clinical Criteria
- Presence of atherosclerosis confirmed by imaging
Applicable To
- Atherosclerosis with gangrene
Excludes
- Diabetes with gangrene (E11.52)
Clinical Validation Requirements
- Angiography showing >70% stenosis
- Clinical documentation of atherosclerosis
Code-Specific Risks
- Misclassification if diabetes is the underlying cause
Coding Notes
- Ensure documentation specifies atherosclerosis as the cause.
E11.52 - Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene
Use when gangrene is due to diabetic complications.
Applicable To
- Diabetic gangrene
Excludes
- Atherosclerosis with gangrene (I70.262)
Clinical Validation Requirements
- Diabetes diagnosis
- Clinical signs of gangrene
Coding Notes
Ensure diabetes is documented as the primary cause.
I96 - Gangrene, not elsewhere classified
Use when no specific etiology is documented.
Applicable To
- Gangrene NOS
Excludes
- Diabetes with gangrene (E11.52)
- Atherosclerosis with gangrene (I70.262)
Clinical Validation Requirements
- Gangrene present without specified cause
Coding Notes
Use only when no specific cause is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Non-pressure chronic ulcer of foot with gangrene
L97.5-Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Gangrene of Left Foot to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I70.262.
Impact
Clinical: Inaccurate treatment plans, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Always document the cause of gangrene., Use templates to ensure completeness.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on disease prevalence.
Mitigation Strategy
Use E11.52 instead when diabetes is the cause.
Impact
Using the wrong primary code for gangrene.
Mitigation Strategy
Ensure documentation supports the chosen primary code.
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 of Left Foot, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Gangrene of Left Foot
Use these documentation templates to ensure complete and accurate documentation for Gangrene of Left Foot. These templates include all required elements for proper coding and billing.
Diabetic patient with gangrene
Specialty: EndocrinologyRequired Elements
- Diabetes diagnosis
- Gangrene location and severity
- Underlying cause documentation
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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