I70.263 — Atherosclerosis of native arteries of extremities with gangrene, bilateral legs
I70.263 is a billable, specific ICD-10-CM code for atherosclerosis of native arteries of extremities with gangrene, bilateral legs. It is valid for submission on a claim.
Risk adjustment
I70.263 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.
Medicare coverage
I70.263 is named in 57 Medicare coverage policies — 57 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
- A53064Billing and Coding: Outpatient Occupational Therapy
How I70.263 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 I70.263.
- Arteriosclerosis, arteriosclerotic›extremities›leg›bilateral›with›gangrene(and intermittent claudication, rest pain and ulcer)
- Arteriosclerosis, arteriosclerotic›with›critical limb ischemia›leg›bilateral›with›gangrene(and intermittent claudication, rest pain, and ulcer)
Related codes at this level
Codes that share I70.26. If I70.263 is not quite right, the correct code is usually one of these.
- I70.261Atherosclerosis of native arteries of extremities with gangrene, right leg
- I70.262Atherosclerosis of native arteries of extremities with gangrene, left leg
- I70.268Atherosclerosis of native arteries of extremities with gangrene, other extremity
- I70.269Atherosclerosis of native arteries of extremities with gangrene, unspecified extremity
Questions about I70.263
- Is I70.263 a billable ICD-10-CM code?
- Yes. I70.263 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does I70.263 sit in the tabular list?
- Diseases of the circulatory system (I00-I99), in the block Diseases of arteries, arterioles and capillaries (I70-I79).