Is I70.43 a billable ICD-10-CM code?

No. I70.43 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does I70.43 sit in the tabular list?

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

I70.43

I70.43 — Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration

Non-billable headerICD-10-CMright

I70.43 is a non-billable header ICD-10-CM code for atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration. It cannot be billed on its own: choose one of the more specific child codes below.

Use additional code

Add a secondary code to capture the detail described below.

code to identify severity of ulcer (L97.-)

Includes

Conditions this code covers.

any condition classifiable to I70.411 and I70.421
chronic limb-threatening ischemia of autologous vein bypass graft(s) of the right leg with ulceration
critical limb ischemia of autologous vein bypass graft(s) of the right leg with ulceration

Risk adjustment

I70.43 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 I70.43

7 child codes. Green means billable.

Related codes at this level

Codes that share I70.4. If I70.43 is not quite right, the correct code is usually one of these.

Questions about I70.43

Is I70.43 a billable ICD-10-CM code?: No. I70.43 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does I70.43 sit in the tabular list?: Diseases of the circulatory system (I00-I99), in the block Diseases of arteries, arterioles and capillaries (I70-I79).