I70.469

Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene, unspecified extremity

Risk-adjusting (HCC)Billable code

HCC risk adjustment mapping

CMS-HCC V28

HCC263

Atherosclerosis of Arteries of the Extremities with Ulceration or Gangrene

CMS-HCC ESRD V24

HCC106

Atherosclerosis of the Extremities with Ulceration or Gangrene

Coding notes

Excludes 1 never coded together · Excludes 2 may co-exist

Inherited from I70.46Athscl autologous vein bypass of the extremities w gangrene
Includes

any condition classifiable to I70.41-, I70.42-, and I70.43-, I70.44-, I70.45 chronic limb-threatening ischemia of autologous vein bypass graft(s) of the extremities with gangrene critical limb ischemia of autologous vein bypass graft(s) of the extremities with gangrene

Use additional

code to identify the severity of any ulcer (L97.-, L98.49-), if applicable

Inherited from I70.4Athscl autologous vein bypass graft(s) of the extremities
Use additional

code, if applicable, to identify chronic total occlusion of artery of extremity (I70.92)

Inherited from I70Atherosclerosis
Includes

arteriolosclerosis arterial degeneration arteriosclerosis arteriosclerotic vascular disease arteriovascular degeneration atheroma endarteritis deformans or obliterans senile arteritis senile endarteritis vascular degeneration

Excludes 2

arteriosclerotic cardiovascular disease (I25.1-) arteriosclerotic heart disease (I25.1-) atheroembolism (I75.-) cerebral atherosclerosis (I67.2) coronary atherosclerosis (I25.1-) mesenteric atherosclerosis (K55.1) precerebral atherosclerosis (I67.2) primary pulmonary atherosclerosis (I27.0)

Use additional

code to identify: exposure to environmental tobacco smoke (Z77.22) history of tobacco dependence (Z87.891) occupational exposure to environmental tobacco smoke (Z57.31) tobacco dependence (F17.-) tobacco use (Z72.0)

Inherited from chapter 9Diseases of the circulatory system
Excludes 2

certain conditions originating in the perinatal period (P04-P96) certain infectious and parasitic diseases (A00-B99) complications of pregnancy, childbirth and the puerperium (O00-O9A) congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99) endocrine, nutritional and metabolic diseases (E00-E88) injury, poisoning and certain other consequences of external causes (S00-T88) neoplasms (C00-D49) symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94) systemic connective tissue disorders (M30-M36) transient cerebral ischemic attacks and related syndromes (G45.-)

Official Guidelines for I70.469

FY 2026 ›