I70.569: Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, unspecified extremity
I70.569 is a billable, specific ICD-10-CM code for atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, unspecified extremity. It is valid for submission on a claim.
Check I70.569 with the rest of the claim: free scrubberExcludes2 inherited from the categories above I70.569
Not part of this code, but both may be coded when both are present.
Written on I70: Atherosclerosis
Other codes that can never be billed with I70.569
Their own Excludes1 notes name this code, so the conflict is not listed above.
- I77.6Arteritis, unspecified
Risk adjustment
I70.569 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
I70.569 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56680Billing and Coding: Routine Foot Care
Alphabetic index entries that lead here
- Arteriosclerosis, arteriosclerotic›extremities›bypass graft›nonautologous biological graft›leg›with›gangrene(and intermittent claudication, rest pain and ulcer)
- Arteriosclerosis, arteriosclerotic›with›critical limb ischemia›bypass graft›nonautologous biological graft›leg›with›gangrene(and intermittent claudication, rest pain, and ulcer)
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under I70.56
- I70.561Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, right leg
- I70.562Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, left leg
- I70.563Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, bilateral legs
- I70.568Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, other extremity