2008 ICD-9-CM Diagnosis Code 785.4 : Gangrene

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2008 ICD-9-CM Diagnosis Code 785.4

Gangrene

ICD-9-CM 785.4 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 785.4 should only be used for claims with a date of service on or before September 30, 2015. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes).
You are viewing the 2008 version of ICD-9-CM 785.4.
More recent version(s) of ICD-9-CM 785.4: 2009 2010 2011 2012 2013 2014 2015.

Convert to ICD-10-CM: 785.4 converts approximately to:

2015/16 ICD-10-CM I96 Gangrene, not elsewhere classified

Approximate Synonyms

Diabetes, type 1 with gangrene
Diabetes, type 2 with gangrene
Diabetic gangrene due to secondary diabetes mellitus
DM 1 w diabetic gangrene
DM 2 w diabetic gangrene
Drug induced diabetes with gangrene
Drug induced DM w diabetic gangrene
Gangrene associated with type I diabetes mellitus
Gangrene associated with type II diabetes mellitus
Gangrene due to peripheral vascular disease
Gangrenous disorder
Necrotizing fasciitis due to infectious organism with gangrene
Necrotizing fasciitis w gangrene due to infectious organism
Necrotizing fasciitis with gangrene
Peripheral vascular disease with gangrene due to drug induced diabetes
Peripheral vascular disease with gangrene due to drug induced diabetes mellitus (disorder)
Raynaud disease with gangrene
Raynauds disease w gangrene
Raynauds disease with gangrene
Raynauds syndrome w gangrene
Raynauds syndrome with gangrene
Secondary diabetes with gangrene
Secondary DM w diabetic gangrene
Secondary Raynaud phenomenon with gangrene
Tissue necrosis in peripheral vascular disease
Tissue necrosis w gangrene in peripheral vascular disease

785.4 Excludes

gangrene of certain sitessee Alphabetic Index
gangrene with atherosclerosis of the extremities (440.24)
gas gangrene (040.0)

Applies To

Gangrene:
- NOS
- spreading cutaneous
Gangrenous cellulitis
Phagedena

Code First

Code first any associated underlying condition

ICD-9-CM Volume 2 Index entries containing back-references to 785.4:

Acrosphacelus 785.4
Arteriosclerosis, arteriosclerotic (artery) (deformans) (diffuse) (disease) (endarteritis) (general) (obliterans) (obliterative) (occlusive) (senile) (with calcification) 440.9
- specified artery NEC 440.8
  - with gangrene 440.8 [785.4]
Bedsore 707.00
- with gangrene 707.00 [785.4]
Cellulitis (diffuse) (with lymphangitis) (see also Abscess) 682.9
- gangrenous (see also Gangrene) 785.4
Decubital gangrene 707.00 [785.4]
Decubitus (ulcer) 707.00
- with gangrene 707.00 [785.4]
Dermatitis (allergic) (contact) (occupational) (venenata) 692.9
- gangrenosa, gangrenous (infantum) (see also Gangrene) 785.4
Diabetes, diabetic (brittle) (congenital) (familial) (mellitus) (poorly controlled) (severe) (slight) (without complication) 250.0
- with
  - coma (with ketoacidosis) 250.3
    - hyperosmolar (nonketotic) 250.2
  - complication NEC 250.9
    - specified NEC 250.8
  - gangrene 250.7 [785.4]
  - hyperosmolarity 250.2
  - ketosis, ketoacidosis 250.1
  - osteomyelitis 250.8 [731.8]
  - specified manifestations NEC 250.8
- gangrene 250.7 [785.4]
Dropsy, dropsical (see also Edema) 782.3
- gangrenous (see also Gangrene) 785.4
Gangrene, gangrenous (anemia) (artery) (cellulitis) (dermatitis) (dry) (infective) (moist) (pemphigus) (septic) (skin) (stasis) (ulcer) 785.4
- with
  - arteriosclerosis (native artery) 440.24
    - bypass graft 440.30
      - autologous vein 440.31
      - nonautologous biological 440.32
  - diabetes (mellitus) 250.7 [785.4]
- abdomen (wall) 785.4
- adenitis 683
- alveolar 526.5
- angina 462
  - diphtheritic 032.0
- anus 569.49
- appendices epiploicae - see Gangrene, mesentery
- appendix - see Appendicitis, acute
- arteriosclerotic - see Arteriosclerosis, with, gangrene
- auricle 785.4
- Bacillus welchii (see also Gangrene, gas) 040.0
- bile duct (see also Cholangitis) 576.8
- bladder 595.89
- bowel - see Gangrene, intestine
- cecum - see Gangrene, intestine
- Clostridium perfringens or welchii (see also Gangrene, gas) 040.0
- colon - see Gangrene, intestine
- connective tissue 785.4
- cornea 371.40
- corpora cavernosa (infective) 607.2
  - noninfective 607.89
- cutaneous, spreading 785.4
- decubital (see also Decubitus) 707.00 [785.4]
- diabetic (any site) 250.7 [785.4]
- dropsical 785.4
- emphysematous (see also Gangrene, gas) 040.0
- epidemic (ergotized grain) 988.2
- epididymis (infectional) (see also Epididymitis) 604.99
- erysipelas (see also Erysipelas) 035
- extremity (lower) (upper) 785.4
- gallbladder or duct (see also Cholecystitis, acute) 575.0
- gas (bacillus) 040.0
  - with
    - abortion - see Abortion, by type, with sepsis
    - ectopic pregnancy (see also categories 633.0-633.9) 639.0
    - molar pregnancy (see also categories 630-632) 639.0
  - following
    - abortion 639.0
    - ectopic or molar pregnancy 639.0
  - puerperal, postpartum, childbirth 670
- glossitis 529.0
- gum 523.8
- hernia - see Hernia, by site, with gangrene
- hospital noma 528.1
- intestine, intestinal (acute) (hemorrhagic) (massive) 557.0
  - with
    - hernia - see Hernia, by site, with gangrene
    - mesenteric embolism or infarction 557.0
    - obstruction (see also Obstruction, intestine) 560.9
- laryngitis 464.00
  - with obstruction 464.01
- liver 573.8
- lung 513.0
  - spirochetal 104.8
- lymphangitis 457.2
- Meleney's (cutaneous) 686.09
- mesentery 557.0
  - with
    - embolism or infarction 557.0
    - intestinal obstruction (see also Obstruction, intestine) 560.9
- mouth 528.1
- noma 528.1
- orchitis 604.90
- ovary (see also Salpingo-oophoritis) 614.2
- pancreas 577.0
- penis (infectional) 607.2
  - noninfective 607.89
- perineum 785.4
- pharynx 462
  - septic 034.0
- pneumonia 513.0
- Pott's 440.24
- presenile 443.1
- pulmonary 513.0
- pulp, tooth 522.1
- quinsy 475
- Raynaud's (symmetric gangrene) 443.0 [785.4]
- rectum 569.49
- retropharyngeal 478.24
- rupture - see Hernia, by site, with gangrene
- scrotum 608.4
  - noninfective 608.83
- senile 440.24
- sore throat 462
- spermatic cord 608.4
  - noninfective 608.89
- spine 785.4
- spirochetal NEC 104.8
- spreading cutaneous 785.4
- stomach 537.89
- stomatitis 528.1
- symmetrical 443.0 [785.4]
- testis (infectional) (see also Orchitis) 604.99
  - noninfective 608.89
- throat 462
  - diphtheritic 032.0
- thyroid (gland) 246.8
- tonsillitis (acute) 463
- tooth (pulp) 522.1
- tuberculous NEC (see also Tuberculosis) 011.9
- tunica vaginalis 608.4
  - noninfective 608.89
- umbilicus 785.4
- uterus (see also Endometritis) 615.9
- uvulitis 528.3
- vas deferens 608.4
  - noninfective 608.89
- vulva (see also Vulvitis) 616.10
Mortification (dry) (moist) (see also Gangrene) 785.4
Necrosis, necrotic
- gangrenous 785.4
- ischemic 785.4
- skin or subcutaneous tissue 709.8
  - due to burn-see Burn, by site
  - gangrenous 785.4
Noma (gangrenous) (hospital) (infective) 528.1
- auricle (see also Gangrene) 785.4
Pemphigus 694.4
- gangrenous (see also Gangrene) 785.4
Phagedena (dry) (moist) (see also Gangrene) 785.4
- arteriosclerotic 440.24
- geometric 686.09
- penis 607.89
- senile 440.24
- sloughing 785.4
- tropical (see also Ulcer, skin) 707.9
- vulva 616.50
Raynaud's
- gangrene (symmetric) 443.0 [785.4]
Sloughing (multiple) (skin) 686.9
- phagedena (see also Gangrene) 785.4
Sore
- pressure (see also Decubitus) 707.00
  - with gangrene (see also Decubitus) 707.00 [785.4]
Sphacelus (see also Gangrene) 785.4
Ulcer, ulcerated, ulcerating, ulceration, ulcerative 707.9
- with gangrene 707.9 [785.4]
- decubitus (unspecified site) 707.00
  - with gangrene 707.00 [785.4]
  - ankle 707.06
  - back
    - lower 707.03
    - upper 707.02
  - buttock 707.05
  - elbow 707.01
  - head 707.09
  - heel 707.07
  - hip 707.04
  - other site 707.09
  - sacrum 707.03
  - shoulder blades 707.02
- gangrenous (see also Gangrene) 785.4
- lower extremity (atrophic) (chronic) (neurogenic) (perforating) (pyogenic) (trophic) (tropical) 707.10
  - with gangrene (see also Ulcer, lower extremity) 707.10 [785.4]
    - arteriosclerotic 440.24
  - ankle 707.13
  - arteriosclerotic 440.23
    - with gangrene 440.24
  - calf 707.12
  - decubitus 707.00
    - with gangrene 707.00 [785.4]
    - ankle 707.06
    - buttock 707.05
    - heel 707.07
    - hip 707.04
  - foot 707.15
  - heel 707.14
  - knee 707.19
  - specified site NEC 707.19
  - thigh 707.11
  - toes 707.15
  - varicose 454.0
    - inflamed or infected 454.2
- skin (atrophic) (chronic) (neurogenic) (non-healing) (perforating) (pyogenic) (trophic) 707.9
  - with gangrene 707.9 [785.4]
  - amebic 006.6
  - decubitus (see also Ulcer, decubitus) 707.00
    - with gangrene 707.00 [785.4]
  - in granulocytopenia 288.09
  - lower extremity (see also Ulcer, lower extremity) 707.10
    - with gangrene 707.10 [785.4]
      - arteriosclerotic 440.24
    - ankle 707.13
    - arteriosclerotic 440.23
      - with gangrene 440.24
    - calf 707.12
    - foot 707.15
    - heel 707.14
    - knee 707.19
    - specified site NEC 707.19
    - thigh 707.11
    - toes 707.15
  - mycobacterial 031.1
  - syphilitic (early) (secondary) 091.3
  - tuberculous (primary) (see also Tuberculosis) 017.0
  - varicose - see Ulcer, varicose

785.3

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785.5

ICD-9-CM codes are used in medical billing and coding to describe diseases, injuries, symptoms and conditions. ICD-9-CM 785.4 is one of thousands of ICD-9-CM codes used in healthcare. Although ICD-9-CM and CPT codes are largely numeric, they differ in that CPT codes describe medical procedures and services. Can't find a code? Start at the root of ICD-9-CM, check the 2008 ICD-9-CM Index or use the search engine at the top of this page to lookup any code.

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