I70.42
I70.42 — Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain
Non-billable headerICD-10-CM
I70.42 is a non-billable header ICD-10-CM code for atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain. It cannot be billed on its own: choose one of the more specific child codes below.
Includes
Conditions this code covers.
- any condition classifiable to I70.41-
- chronic limb-threatening ischemia NOS of autologous vein bypass graft(s) of the extremities
- chronic limb-threatening ischemia of autologous vein bypass graft(s) of the extremities with rest pain
- critical limb ischemia NOS of autologous vein bypass graft(s) of the extremities
- critical limb ischemia of autologous vein bypass graft(s) of the extremities with rest pain
Risk adjustment
I70.42 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead I70.42
5 child codes. Green means billable.
- I70.421Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, right leg
- I70.422Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, left leg
- I70.423Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, bilateral legs
- I70.428Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, other extremity
- I70.429Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, unspecified extremity
Related codes at this level
Codes that share I70.4. If I70.42 is not quite right, the correct code is usually one of these.
- I70.40Unspecified atherosclerosis of autologous vein bypass graft(s) of the extremities
- I70.41Atherosclerosis of autologous vein bypass graft(s) of the extremities with intermittent claudication
- I70.43Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration
- I70.44Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration
- I70.45Atherosclerosis of autologous vein bypass graft(s) of other extremity with ulceration
- I70.46Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene
- I70.49Other atherosclerosis of autologous vein bypass graft(s) of the extremities
Questions about I70.42
- Is I70.42 a billable ICD-10-CM code?
- No. I70.42 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does I70.42 sit in the tabular list?
- Diseases of the circulatory system (I00-I99), in the block Diseases of arteries, arterioles and capillaries (I70-I79).