I70.268: Atherosclerosis of native arteries of extremities with gangrene, other extremity
I70.268 is a billable, specific ICD-10-CM code for atherosclerosis of native arteries of extremities with gangrene, other extremity. It is valid for submission on a claim.
Check I70.268 with the rest of the claim: free scrubberOther codes that can never be billed with I70.268
Their own Excludes1 notes name this code, so the conflict is not listed above.
- I77.6Arteritis, unspecified
Risk adjustment
I70.268 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
I70.268 is named in 30 Medicare coverage policies: 30 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
- A53064Billing and Coding: Outpatient Occupational Therapy
Alphabetic index entries that lead here
- Arteriosclerosis, arteriosclerotic›extremities›specified site NEC›with›gangrene(and intermittent claudication, rest pain and ulcer)
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under I70.26
- I70.261Atherosclerosis of native arteries of extremities with gangrene, right leg
- I70.262Atherosclerosis of native arteries of extremities with gangrene, left leg
- I70.263Atherosclerosis of native arteries of extremities with gangrene, bilateral legs
- I70.269Atherosclerosis of native arteries of extremities with gangrene, unspecified extremity