ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 I96

Billable / Specific HCC v28: 106 CC

Gangrene, not elsewhere classified

I96
Block
1
Synonyms
562
LCDs
25
Payer Policies
3
Linked CPTs

About ICD-10-CM I96

ICD-10-CM code I96 represents Gangrene, not elsewhere classified. This is a billable/specific code in the Circulatory System chapter (block I96). The 2026 edition of ICD-10-CM I96 became effective on October 1, 2025.

Coding Tips for I96

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

HCC capture: document with MEAT each year

I96 is a CMS-HCC v28 risk-adjustment code (category 106). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.

Inpatient DRG impact: CC

I96 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under I96. Per CMS ICD-10-CM Tabular 2026.

  • Gangrenous cellulitis

Type 1 Excludes

Pure excludes, these codes can never be coded together with I96. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • gangrene in atherosclerosis of native arteries of the extremities (I70.26)
  • gangrene in hernia (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.-)
  • gangrene of certain specified sites - see Alphabetical Index
  • gas gangrene (A48.0)
  • pyoderma gangrenosum (L88)

Type 2 Excludes

Not included here, the excluded code is not part of I96, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.

  • gangrene in diabetes mellitus (E08-E13 with .52)

Medicare Advantage HCC Impact

CMS-HCC v28 (current)
Category 106
ESRD-HCC
Category 106
RxHCC (Part D)
Category 106

Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.

Inpatient DRG Impact, CC

codes Gangrene, not elsewhere classified. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for I96

Local Coverage Determinations (LCDs) from CMS MACs that list I96 as a covered diagnosis.

562 LCDs

Showing top 10 of 562 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Non-Invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities
Article ID: 60318, Effective: , 409 covered, 1 non-covered
CPT 93926 →
CMS LCD: Billing and Coding: Non-Invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities
Article ID: 60318, Effective: , 409 covered, 1 non-covered
CPT 93930 →
CMS LCD: Billing and Coding: Non-Invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities
Article ID: 60318, Effective: , 409 covered, 1 non-covered
CPT 93925 →
CMS LCD: Billing and Coding: Non-Invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities
Article ID: 60318, Effective: , 409 covered, 1 non-covered
CPT 93931 →
CMS LCD: Billing and Coding: Magnetic Resonance Angiography
Article ID: 56775, Effective: 2025-10-01 00:00:00, 1311 covered, 0 non-covered
CPT C8918 →
CMS LCD: Billing and Coding: Magnetic Resonance Angiography
Article ID: 56775, Effective: 2025-10-01 00:00:00, 1311 covered, 0 non-covered
CPT C8936 →
CMS LCD: Billing and Coding: Magnetic Resonance Angiography
Article ID: 56775, Effective: 2025-10-01 00:00:00, 1311 covered, 0 non-covered
CPT C8910 →
CMS LCD: Billing and Coding: Magnetic Resonance Angiography
Article ID: 56775, Effective: 2025-10-01 00:00:00, 1311 covered, 0 non-covered
CPT 70548 →
CMS LCD: Billing and Coding: Magnetic Resonance Angiography
Article ID: 56775, Effective: 2025-10-01 00:00:00, 1311 covered, 0 non-covered
CPT C8913 →
CMS LCD: Billing and Coding: Magnetic Resonance Angiography
Article ID: 56775, Effective: 2025-10-01 00:00:00, 1311 covered, 0 non-covered
CPT C8912 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing I96.

25 policies

1 Aetna

Breast Reduction Surgery and Gynecomastia Surgery - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0017

5 Medicare

Billing and Coding: Surgical Treatment of Nails
Policy ID: ART-52998
Billing and Coding: Home Health Occupational Therapy
Policy ID: ART-53057
Billing and Coding: Home Health Physical Therapy
Policy ID: ART-53058
Billing and Coding: Outpatient Occupational Therapy
Policy ID: ART-53064
Billing and Coding: Outpatient Physical Therapy
Policy ID: ART-53065

CPT Codes Commonly Billed with I96

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

3 linkages
  • 11732 CMS LCD: Billing and Coding: Surgical Treatment of Nails CMS LCD
  • 11765 CMS LCD: Billing and Coding: Surgical Treatment of Nails CMS LCD
  • 11750 CMS LCD: Billing and Coding: Surgical Treatment of Nails CMS LCD

Convert I96 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
I96 7854 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 I96, Billing FAQ

Is ICD-10 code I96 billable? +

Yes, I96 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to I96? +

ICD-10 I96 includes: Gangrenous cellulitis.

What codes are Type 1 Excludes for I96? +

Type 1 Excludes (never code together with I96): gangrene in atherosclerosis of native arteries of the extremities (I70.26); gangrene in hernia (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.-)

What codes are Type 2 Excludes for I96? +

Type 2 Excludes (may be coded together when both conditions exist): gangrene in diabetes mellitus (E08-E13 with .52)

Does I96 affect Medicare Advantage HCC risk adjustment? +

Yes. I96 maps to CMS-HCC v28 category 106. Capture this diagnosis annually for accurate Medicare Advantage risk score.

Is I96 a CC or MCC for inpatient DRG? +

Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

What CPT codes are commonly billed with I96? +

Procedures frequently paired with I96 include: 11732, 11765, 11750.

What ICD-9 codes does I96 map to? +

Per CMS GEMs, I96 maps to ICD-9 codes: 7854. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

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