I70.628 — Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, other extremity
I70.628 is a billable, specific ICD-10-CM code for atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, other extremity. It is valid for submission on a claim.
Excludes2 inherited from the categories above I70.628
Also inherited, and the opposite of Excludes1: these conditions are not part of I70.628, but a patient can have both, so you may code both.
Written on I70 — Atherosclerosis
Other codes that can never be billed with I70.628
These codes carry an Excludes1 note pointing at I70.628. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading I70.628 alone.
- I77.6Arteritis, unspecified
Risk adjustment
I70.628 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 264 Vascular Disease with Complications0.455 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.
Medicare coverage
I70.628 is named in 20 Medicare coverage policies — 20 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
- A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
- A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
- A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
How I70.628 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to I70.628.
- Arteriosclerosis, arteriosclerotic›extremities›bypass graft›nonbiological graft›specified NEC›with›rest pain(and intermittent claudication)
Code history
I70.628 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share I70.62. If I70.628 is not quite right, the correct code is usually one of these.
- I70.621Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, right leg
- I70.622Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, left leg
- I70.623Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, bilateral legs
- I70.629Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, unspecified extremity
Questions about I70.628
- Is I70.628 a billable ICD-10-CM code?
- Yes. I70.628 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does I70.628 sit in the tabular list?
- Diseases of the circulatory system (I00-I99), in the block Diseases of arteries, arterioles and capillaries (I70-I79).