Is I70.25 a billable ICD-10-CM code?

Yes. I70.25 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does I70.25 sit in the tabular list?

Diseases of the circulatory system (I00-I99), in the block Diseases of arteries, arterioles and capillaries (I70-I79).

I70.25

I70.25 — Atherosclerosis of native arteries of other extremities with ulceration

Billable / specific codeICD-10-CM

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.

Use 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.

any condition classifiable to I70.218 and I70.228

Excludes2 inherited from the categories above I70.25

Also inherited, and the opposite of Excludes1: these conditions are not part of I70.25, but a patient can have both, so you may code both.

Written on I70.2 — Atherosclerosis of native arteries of the extremities

atherosclerosis of bypass graft of extremities (I70.30-I70.79)

Written on I70 — Atherosclerosis

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)

Other codes that can never be billed with I70.25

These codes carry an Excludes1 note pointing at I70.25. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading I70.25 alone.

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.

Medicare coverage

I70.25 is named in 47 Medicare coverage policies — 47 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

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

How I70.25 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 I70.25.

Arteriosclerosis, arteriosclerotic›extremities›specified site NEC›with›ulceration(and intermittent claudication and rest pain)

Code history

I70.25 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share I70.2. If I70.25 is not quite right, the correct code is usually one of these.

Questions about I70.25

Is I70.25 a billable ICD-10-CM code?: Yes. I70.25 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does I70.25 sit in the tabular list?: Diseases of the circulatory system (I00-I99), in the block Diseases of arteries, arterioles and capillaries (I70-I79).