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ICD-10 codes

Hwa Posted Wed 13th of May, 2015 15:22:19 PM

For a patient with type 2 diabetes who presents to the office with atherosclerosis of native arteries of the left leg with gangrene, would you code first the athero with gangrene (I70.262) since that's what we're treating, followed by the type 2 DM with gangrene (E11.52)? If that same patient did not have any atherosclerosis, but rather just had angiopathy and diabetic gangrene, would we only code E11.52?

SuperCoder Answered Thu 14th of May, 2015 06:36:16 AM

Well, yes, I70.262 is the correct code for atherosclerosis of native arteries of extremities with gangrene left leg, as here the gangrene is complication of atherosclerosis but not of the diabetes. So, for type 2 diabetes without complication E11.9 is appropriate code whereas gangrene is not mentioned as diabetes complication. On the other hand, when patient just have angiopathy and diabetic gangrene then E11.52 is the correct code.

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