ICD-10 Coding for Gangrene of the Left Foot(E11.52, I70.262, I96)
Complete ICD-10-CM coding and documentation guide for Gangrene of the 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 the Left Foot
E11.5-E11.6Primary Range
Type 2 diabetes mellitus with complications
Primary range for diabetic gangrene when diabetes is the underlying cause.
Atherosclerosis of arteries of extremities
Used when gangrene is due to atherosclerosis without diabetes.
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 related to diabetes. |
|
| I70.262 | Atherosclerosis of native arteries of extremities with gangrene | Use when gangrene is due to atherosclerosis without diabetes. |
|
| I96 | Gangrene, not elsewhere classified | Use when gangrene is not related to diabetes or 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 left foot
Essential facts and insights about Gangrene of the Left Foot
Primary ICD-10-CM Codes for gangrene left foot
Decision Criteria
clinical Criteria
- Diabetes confirmed with gangrene and peripheral vascular disease.
Applicable To
- Gangrene due to diabetes
Excludes
- Gangrene due to atherosclerosis (I70.262)
Clinical Validation Requirements
- HbA1c >6.5%
- Doppler confirming peripheral artery disease
- Wagner Grade ≥2
Code-Specific Risks
- Misclassification if diabetes is not the cause.
Coding Notes
- Ensure documentation specifies diabetes as the cause of gangrene.
I70.262 - Atherosclerosis of native arteries of extremities with gangrene
Use when gangrene is due to atherosclerosis without diabetes.
Applicable To
- Gangrene due to atherosclerosis
Excludes
- Gangrene due to diabetes (E11.52)
Clinical Validation Requirements
- Angiography showing >50% stenosis
- ABI <0.9
Coding Notes
Ensure documentation specifies atherosclerosis as the cause of gangrene.
I96 - Gangrene, not elsewhere classified
Use when gangrene is not related to diabetes or atherosclerosis.
Applicable To
- Gangrene not due to diabetes or atherosclerosis
Excludes
- Gangrene due to diabetes (E11.52)
- Gangrene due to atherosclerosis (I70.262)
Clinical Validation Requirements
- Clinical evidence of gangrene without known cause
Coding Notes
Use only when no specific cause is identified.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Non-pressure chronic ulcer of lower limb, not elsewhere classified
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 the Left 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: Potential for incorrect treatment., Regulatory: Non-compliance with documentation standards., Financial: Denial of claims due to incomplete documentation.
Mitigation Strategy
Use templates that prompt for laterality., Regular audits of clinical notes.
Impact
Reimbursement: Incorrect DRG assignment affecting payment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use E11.52 when diabetes is the cause.
Impact
Using a non-specific code as the principal diagnosis.
Mitigation Strategy
Train staff on correct code selection and documentation.
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 the Left Foot, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Gangrene of the Left Foot
Use these documentation templates to ensure complete and accurate documentation for Gangrene of the Left Foot. These templates include all required elements for proper coding and billing.
Diabetic gangrene with ulcer
Specialty: EndocrinologyRequired Elements
- Diabetes status
- Ulcer location and severity
- Peripheral vascular disease confirmation
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Gangrene of the Left Foot? Ask your questions below.