E13.52 — Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene
E13.52 is a billable, specific ICD-10-CM code for other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Other specified diabetes mellitus with diabetic gangrene
Risk adjustment
E13.52 risk-adjusts. Under the CMS-HCC V28 model it maps to these categories:
- HCC 37 Diabetes with Chronic Complications0.166 RAF
- HCC 263 Atherosclerosis of Arteries of the Extremities with Ulceration or Gangrene1.118 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
E13.52 is named in 43 Medicare coverage policies — 43 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52464Glucose Monitor - Policy Article
- A52501Therapeutic Shoes for Persons with Diabetes - Policy Article
- A52507External Infusion Pumps - Policy Article
- A52996Billing and Coding: Routine Foot Care
How E13.52 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to E13.52.
- Diabetes, diabetic›specified type NEC›with›gangrene
- Diabetes, diabetic›specified type NEC›with›peripheral angiopathy›with gangrene
Related codes at this level
Codes that share E13.5. If E13.52 is not quite right, the correct code is usually one of these.
Questions about E13.52
- Is E13.52 a billable ICD-10-CM code?
- Yes. E13.52 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does E13.52 sit in the tabular list?
- Endocrine, nutritional and metabolic diseases (E00-E89), in the block Diabetes mellitus (E08-E13).