I73.01
I73.01: Raynaud's syndrome with gangrene
Billable / specific codeICD-10-CM
I73.01 is a billable, specific ICD-10-CM code for raynaud's syndrome with gangrene. It is valid for submission on a claim.
Check I73.01 with the rest of the claim: free scrubberOther codes that can never be billed with I73.01
Their own Excludes1 notes name this code, so the conflict is not listed above.
- I96Gangrene, not elsewhere classified
Risk adjustment
I73.01 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
I73.01 is named in 30 Medicare coverage policies: 30 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52996Billing and Coding: Routine Foot Care
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
Alphabetic index entries that lead here
- Gangrene, gangrenous›Raynaud's(symmetric gangrene)
- Gangrene, gangrenous›symmetrical
- Raynaud's disease, phenomenon or syndrome›with gangrene(symmetric)
- Asphyxia, asphyxiation›local›with gangrene
- Cyanosis›paroxysmal digital›with gangrene
- Phenomenon›Raynaud's›with gangrene
- Syndrome›Raynaud's›with gangrene
Code history
Unchanged in every release from FY2024 to FY2027.