I70.269: Atherosclerosis of native arteries of extremities with gangrene, unspecified extremity
I70.269 is a billable, specific ICD-10-CM code for atherosclerosis of native arteries of extremities with gangrene, unspecified extremity. It is valid for submission on a claim.
Check I70.269 with the rest of the claim: free scrubberOther codes that can never be billed with I70.269
Their own Excludes1 notes name this code, so the conflict is not listed above.
- I77.6Arteritis, unspecified
Risk adjustment
I70.269 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
I70.269 is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52996Billing and Coding: Routine Foot Care
- A56680Billing and Coding: Routine Foot Care
- A57174Billing and Coding: MolDX: Pharmacogenomics Testing
- A57188Billing and Coding: Routine Foot Care
Alphabetic index entries that lead here
- Arteriosclerosis, arteriosclerotic›extremities›leg›with›gangrene(and intermittent claudication, rest pain and ulcer)
- Arteriosclerosis, arteriosclerotic›with›critical limb ischemia›leg›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
- I70.268Atherosclerosis of native arteries of extremities with gangrene, other extremity