Specific code 2014 ICD-9-CM Diagnosis Code 785.4
Gangrene
  • Billable Code
  • 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.
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
Clinical Information
  • Death and decay of body tissue, often occurring in a limb, caused by insufficient blood supply and usually following injury or disease.
  • Death and putrefaction of tissue usually due to a loss of blood supply
  • Death and putrefaction of tissue usually due to a loss of blood supply.
  • Death of tissue, usually in considerable mass and generally associated with loss of vascular (nutritive) supply and followed by bacterial invasion and putrefaction.
  • Gangrene is the death of tissues in your body. It happens when a part of your body loses its blood supply. Gangrene can happen on the surface of the body, such as on the skin, or inside the body, in muscles or organs. Causes include:
    • serious injuries
    • problems with blood circulation, such as atherosclerosis and peripheral arterial disease
    • diabetes
    skin symptoms may include a blue or black color, pain, numbness, and sores that produce a foul-smelling discharge. If the gangrene is internal, you may run a fever, feel unwell, and the area may be swollen and painful.treatment includes surgery, antibiotics, and oxygen therapy. In severe cases an amputation may be necessary.
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
      • loss of protective sensation (LOPS) - see Diabetes, neuropathy
      • 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 2014 ICD-9-CM Index or use the search engine at the top of this page to lookup any code.