E10.52

Billable

Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene

HCC Category Mapping

RxHCCHCC 30 — Diabetes with Complications

0.000

What This Code Means

Type 1 diabetes with blood vessel damage in the legs and feet that has progressed to tissue death (gangrene), potentially requiring amputation.

Coding Tips

•Gangrene is a serious complication requiring clear documentation of affected body part and extent of tissue necrosis
•Coordinate coding with any amputation codes if tissue removal is performed

Clinical Significance

Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene represents one of the most severe macrovascular complications of diabetes. Gangrene indicates tissue death from inadequate blood supply and often necessitates surgical debridement or amputation. This condition reflects end-stage peripheral vascular disease in a diabetic patient and carries high morbidity, mortality, and healthcare resource utilization.

Documentation Requirements

✓Documentation must clearly state gangrene is present in the context of diabetic peripheral angiopathy in a Type 1 diabetic patient.
✓Record the specific anatomical location, extent of necrotic tissue, whether it is dry or wet gangrene, and any associated infection.
✓Surgical consultation notes, vascular imaging, and wound care documentation should support the diagnosis.

Commonly Confused Codes

E10.51 (without gangrene) is used when peripheral vascular disease is present but no tissue death has occurred.I96 (gangrene, not elsewhere classified) should not be used instead of this combination code when diabetes is the underlying cause.L97 series (non-pressure chronic ulcer) may be used as additional codes for ulcer specificity but do not replace the diabetic combination code.

Code Hierarchy

└E10Type 1 diabetes mellitus └E10.5Type 1 diabetes mellitus with circulatory complications └E10.52Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene

└E10.52Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene