Specific code 2010 ICD-9-CM Diagnosis Code 785.4
Gangrene
  • ICD-9-CM 785.4 will be replaced by an equivalent ICD-10-CM code (or codes) when the United States transitions from ICD-9-CM to ICD-10-CM on October 1, 2015.
  • ICD-9-CM 785.4 is a billable medical code that can be used to specify a diagnosis on a reimbursement claim.
  • You are viewing the 2010 version of ICD-9-CM 785.4.
  • More recent version(s) of ICD-9-CM 785.4: 2011 2012 2013 2014.
Disease 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 sites - see 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
Convert to ICD-10-CM: 785.4 converts approximately to:
  • 2014 ICD-10-CM I96 Gangrene, not elsewhere classified
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 (see also Ulcer, pressure) 707.00
  • Cellulitis (diffuse) (with lymphangitis) (see also Abscess) 682.9
    • gangrenous (see also Gangrene) 785.4
  • Decubital gangrene (see also Ulcer, pressure) 707.00 [785.4]
  • Decubitus (ulcer) (see also Ulcer, pressure) 707.00
  • Dermatitis (allergic) (contact) (occupational) (venenata) 692.9
    • gangrenosa, gangrenous (infantum) (see also Gangrene) 785.4
  • Diabetes, diabetic (brittle) (congenital) (familial) (mellitus) (severe) (slight) (without complication) 250.0
    • with
      • coma (with ketoacidosis) 250.3
        • due to secondary diabetes 249.3
        • hyperosmolar (nonketotic) 250.2
          • due to secondary diabetes 249.2
      • complication NEC 250.9
        • due to secondary diabetes 249.9
        • specified NEC 250.8
          • due to secondary diabetes 249.8
      • gangrene 250.7 [785.4]
        • due to secondary diabetes 249.7 [785.4]
      • hyperglycemia - code to Diabetes, by type, with 5th digit for not stated as uncontrolled
      • hyperosmolarity 250.2
        • due to secondary diabetes 249.2
      • ketosis, ketoacidosis 250.1
        • due to secondary diabetes 249.1
      • osteomyelitis 250.8 [731.8]
      • specified manifestations NEC 250.8
        • due to secondary diabetes 249.8
    • gangrene 250.7 [785.4]
      • due to secondary diabetes 249.7 [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
      • diabetes (mellitus) 250.7 [785.4]
        • due to secondary diabetes 249.7 [785.4]
    • abdomen (wall) 785.4
    • 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
    • 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
    • cutaneous, spreading 785.4
    • decubital (see also Ulcer, pressure) 707.00 [785.4]
    • diabetic (any site) 250.7 [785.4]
      • due to secondary diabetes 249.7 [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
      • puerperal, postpartum, childbirth 670.8
    • hernia - see Hernia, by site, with gangrene
    • 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
    • mesentery 557.0
      • with
        • embolism or infarction 557.0
        • intestinal obstruction (see also Obstruction, intestine) 560.9
    • ovary (see also Salpingo-oophoritis) 614.2
    • perineum 785.4
    • Raynaud's (symmetric gangrene) 443.0 [785.4]
    • rupture - see Hernia, by site, with gangrene
    • sore throat 462
    • spine 785.4
    • spreading cutaneous 785.4
    • symmetrical 443.0 [785.4]
    • testis (infectional) (see also Orchitis) 604.99
    • tonsillitis (acute) 463
    • tuberculous NEC (see also Tuberculosis) 011.9
    • umbilicus 785.4
    • uterus (see also Endometritis) 615.9
    • 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
    • sloughing 785.4
    • tropical (see also Ulcer, skin) 707.9
  • Raynaud's
    • gangrene (symmetric) 443.0 [785.4]
  • Sloughing (multiple) (skin) 686.9
    • phagedena (see also Gangrene) 785.4
  • Sore
    • pressure (see also Ulcer, pressure) 707.00
      • with gangrene (see also Ulcer, pressure) 707.00 [785.4]
  • Sphacelus (see also Gangrene) 785.4
  • Ulcer, ulcerated, ulcerating, ulceration, ulcerative 707.9
    • with gangrene 707.9 [785.4]
    • gangrenous (see also Gangrene) 785.4
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 2010 ICD-9-CM Index or use the search engine at the top of this page to lookup any code.