I70.25: Atherosclerosis of native arteries of other extremities with ulceration
I70.25 is a billable, specific ICD-10-CM code for atherosclerosis of native arteries of other extremities with ulceration. It is valid for submission on a claim.
Check I70.25 with the rest of the claim: free scrubberUse additional code
Add a secondary code to capture the detail described below.
- code to identify the severity of the ulcer (L98.49-)
Includes
Conditions this code covers.
Other codes that can never be billed with I70.25
Their own Excludes1 notes name this code, so the conflict is not listed above.
- I77.6Arteritis, unspecified
Risk adjustment
I70.25 risk-adjusts. Under the CMS-HCC V28 model it maps to these categories:
- HCC 263 Atherosclerosis of Arteries of the Extremities with Ulceration or Gangrene1.118 RAF
- HCC 383 Chronic Ulcer of Skin, Except Pressure, Not Specified as Through to Bone or Muscle0.646 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
I70.25 is named in 34 Medicare coverage policies: 34 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A52996Billing and Coding: Routine Foot Care
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
Alphabetic index entries that lead here
- Arteriosclerosis, arteriosclerotic›extremities›specified site NEC›with›ulceration(and intermittent claudication and rest pain)
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under I70.2
- I70.20Unspecified atherosclerosis of native arteries of extremities
- I70.21Atherosclerosis of native arteries of extremities with intermittent claudication
- I70.22Atherosclerosis of native arteries of extremities with rest pain
- I70.23Atherosclerosis of native arteries of right leg with ulceration
- I70.24Atherosclerosis of native arteries of left leg with ulceration
- I70.26Atherosclerosis of native arteries of extremities with gangrene
- I70.29Other atherosclerosis of native arteries of extremities