MCMedicalCodingSoftware
I70.728

I70.728: Atherosclerosis of other type of bypass graft(s) of the extremities with rest pain, other extremity

Billable / specific codeICD-10-CM

I70.728 is a billable, specific ICD-10-CM code for atherosclerosis of other type of bypass graft(s) of the extremities with rest pain, other extremity. It is valid for submission on a claim.

Check I70.728 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above I70.728

Not part of this code, but both may be coded when both are present.

Written on I70: Atherosclerosis

  • arteriosclerotic cardiovascular disease (I25.1-)
  • arteriosclerotic heart disease (I25.1-)
  • atheroembolism (I75.-)
  • cerebral atherosclerosis (I67.2)
  • coronary atherosclerosis (I25.1-)
  • mesenteric atherosclerosis (K55.1)
  • precerebral atherosclerosis (I67.2)
  • primary pulmonary atherosclerosis (I27.0)

Other codes that can never be billed with I70.728

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • I77.6Arteritis, unspecified

Risk adjustment

I70.728 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

I70.728 is named in 11 Medicare coverage policies: 11 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
  • A56476Billing and Coding: Cardiac Radionuclide Imaging
  • A56675Billing and Coding: Homocysteine Level, Serum
  • A56680Billing and Coding: Routine Foot Care

Alphabetic index entries that lead here

  • Arteriosclerosis, arteriosclerotic›extremities›bypass graft›specified graft NEC›specified NEC›with›rest pain(and intermittent claudication)

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under I70.72

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.