I96 diagnosis code · Billable category · FY2027
I96 Gangrene, not elsewhere classified
- Billable
- CC
- HCC 263
- POA reported
I96 ICD-10 code: a billable diagnosis code in FY2027; the category has no subdivisions.
Where it sits
- Chapter 9 Diseases of the circulatory system (I00-I99)
- I95-I99 Other and unspecified disorders of the circulatory system (I95-I99)
- I96 Gangrene, not elsewhere classified
- CC / MCC
- CC
- MS-DRG
- 299-301, 791, 793
- HCC V28
- 263
- POA
- Reported
- Code Editor
- –
- Index entries
- 13
Instructions
At I96
Inclusion terms
- Gangrenous cellulitis
Excludes1
- gangrene in atherosclerosis of native arteries of the extremities (I70.26) I70.26
- gangrene in hernia (K40.1, K40.4, K41.1, K41.4, K42.1, K43.1-, K44.1, K45.1, K46.1) K40.1 K40.4 K41.1 K41.4 K42.1 K43.1 K44.1 K45.1 K46.1
- gangrene in other peripheral vascular diseases (I73.-) I73
- gangrene of certain specified sites - see Alphabetical Index
- gas gangrene (A48.0) A48.0
- pyoderma gangrenosum (L88) L88
Notes that also apply
Chapter 9 instructions (Excludes2 10): printed on the chapter 9 page.
Index entries
- Acrosphacelus → I96
- Gangrene, gangrenous (connective tissue) (dropsical) (dry) (moist) (skin) (ulcer) → I96
- Gangrene, gangrenous (connective tissue) (dropsical) (dry) (moist) (skin) (ulcer)›abdomen (wall) → I96
- Gangrene, gangrenous (connective tissue) (dropsical) (dry) (moist) (skin) (ulcer)›auricle → I96
- Gangrene, gangrenous (connective tissue) (dropsical) (dry) (moist) (skin) (ulcer)›cutaneous, spreading → I96
- Gangrene, gangrenous (connective tissue) (dropsical) (dry) (moist) (skin) (ulcer)›extremity (lower) (upper) → I96
- Gangrene, gangrenous (connective tissue) (dropsical) (dry) (moist) (skin) (ulcer)›limb (lower) (upper) → I96
- Gangrene, gangrenous (connective tissue) (dropsical) (dry) (moist) (skin) (ulcer)›perineum → I96
- Gangrene, gangrenous (connective tissue) (dropsical) (dry) (moist) (skin) (ulcer)›spine → I96
- Gangrene, gangrenous (connective tissue) (dropsical) (dry) (moist) (skin) (ulcer)›spreading cutaneous → I96
- Gangrene, gangrenous (connective tissue) (dropsical) (dry) (moist) (skin) (ulcer)›umbilicus → I96
- Necrosis, necrotic (ischemic)›skin or subcutaneous tissue NEC → I96
- Noma (gangrenous) (hospital) (infective)›auricle → I96
NCHS Alphabetic Index. Index first, then the Tabular List.
Medicare grouping and edits
| CC / MCC | CC |
|---|---|
| PDX exclusion list | 0531 (45 codes) |
| Appendix B | MDC 05 Diseases and Disorders of the Circulatory System, MS-DRG 299-301 (Peripheral Vascular Disorders with MCC…); MDC 15 Newborns and Other Neonates with Conditions Originating in Perinatal Period, MS-DRG 791 (Prematurity with Major Problems…); MDC 15 Newborns and Other Neonates with Conditions Originating in Perinatal Period, MS-DRG 793 (Full Term Neonate with Major Problems…) |
| Code Editor | – |
| POA | Reported |
| HCC V28 | HCC 263 Atherosclerosis of Arteries of the Extremities with Ulceration or Gangrene |
CC as a secondary diagnosis, not when the principal diagnosis is on its PDX exclusion list.
CMS: MS-DRG v44 (Appendix B, C), MCE v44, POA list FY2027, 2027 Initial ICD-10-CM Mappings. What the rows mean.