ICD-10 Coding for Left Foot Gangrene(E11.52, I70.262, I96)
Complete ICD-10-CM coding and documentation guide for Left Foot Gangrene. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Left Foot Gangrene
E11.5-E11.6Primary Range
Type 2 diabetes mellitus with complications
Primary range for diabetic gangrene affecting the left foot.
Atherosclerosis of arteries of extremities
Relevant for gangrene due to atherosclerosis in the left leg.
Gangrene, not elsewhere classified
Used when gangrene is not specified as diabetic or atherosclerotic.
Non-pressure chronic ulcer of lower limb, not elsewhere classified
Used for ulcers with necrosis in the left foot.
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 diabetic peripheral angiopathy with gangrene | Use when gangrene is directly linked to diabetes. |
|
| I70.262 | Atherosclerosis of native arteries of extremities with gangrene, left leg | Use when gangrene is due to atherosclerosis. |
|
| I96 | Gangrene, not elsewhere classified | Use when gangrene is not specified as diabetic or atherosclerotic. |
|
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 left foot gangrene
Essential facts and insights about Left Foot Gangrene
Primary ICD-10-CM Codes for left foot gangrene
Decision Criteria
clinical Criteria
- Presence of diabetic peripheral angiopathy with gangrene
Applicable To
- Diabetic gangrene
Excludes
- Gangrene not due to diabetes
Clinical Validation Requirements
- Documented diabetes with gangrene
- HbA1c >9%
- Presence of neuropathy
Code-Specific Risks
- Incorrectly coding gangrene not related to diabetes.
Coding Notes
- Ensure documentation links gangrene to diabetes explicitly.
I70.262 - Atherosclerosis of native arteries of extremities with gangrene, left leg
Use when gangrene is due to atherosclerosis.
Applicable To
- Gangrene due to atherosclerosis
Excludes
- Diabetic gangrene
Clinical Validation Requirements
- Documented atherosclerosis with gangrene
- ABI <0.4
Coding Notes
Ensure documentation specifies atherosclerotic cause.
I96 - Gangrene, not elsewhere classified
Use when gangrene is not specified as diabetic or atherosclerotic.
Applicable To
- Gangrene NOS
Excludes
- Diabetic gangrene
- Atherosclerotic gangrene
Clinical Validation Requirements
- Gangrene without specified underlying cause
Coding Notes
Use only when no specific etiology is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Non-pressure ulcer of lower limb with necrosis
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 Left Foot Gangrene to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E11.52.
Impact
Clinical: Misinterpretation of patient's condition., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Provide detailed descriptions of gangrene's cause and extent., Use specific ICD-10 codes.
Impact
Reimbursement: Incorrect DRG assignment affecting payment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use E11.52 for diabetic gangrene.
Impact
Improper sequencing can lead to audit flags.
Mitigation Strategy
Ensure gangrene is coded first when related to pressure ulcers.
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 Left Foot Gangrene, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Left Foot Gangrene
Use these documentation templates to ensure complete and accurate documentation for Left Foot Gangrene. These templates include all required elements for proper coding and billing.
Diabetic gangrene with ulcer
Specialty: PodiatryRequired Elements
- Location and extent of gangrene
- Underlying cause
- Imaging and lab results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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