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I70.308 ICD-10-CM Code: Unspecified atherosclerosis of unspecified type of bypass graft(s) of the extremities, other extremity

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives
10 inclusion terms · 1 Excludes1 · 8 Excludes2 · 7 use-additional codes
Risk adjustment
CMS-HCC V22 category 108

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43, Appendix B.

  • MS-DRG 299 — PERIPHERAL VASCULAR DISORDERS WITH MCC (MDC 05)
  • MS-DRG 300 — PERIPHERAL VASCULAR DISORDERS WITH CC (MDC 05)
  • MS-DRG 301 — PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC (MDC 05)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for I70.308 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025

Notes without a marker are published on I70.308 itself; “inherited from” names the category or block whose note applies here.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • arteriolosclerosis
  • arterial degeneration
  • arteriosclerosis
  • arteriosclerotic vascular disease
  • arteriovascular degeneration
  • atheroma
  • endarteritis deformans or obliterans
  • senile arteritis
  • senile endarteritis
  • vascular degeneration

Source: inherited from I70

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Source: inherited from I70.3

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Source: inherited from I70

Use Additional Code

Supplementary codes the tabular list directs you to add.

  • Use additional code, if applicable, to identify chronic total occlusion of artery of extremity (I70.92) inherited from I70.3
  • Use additional code to identify:
  • exposure to environmental tobacco smoke (Z77.22) inherited from I70
  • history of tobacco dependence (Z87.891) inherited from I70
  • occupational exposure to environmental tobacco smoke (Z57.31) inherited from I70
  • tobacco dependence (F17.-) inherited from I70
  • tobacco use (Z72.0) inherited from I70

Coder workflow for I70.308

MedCoder structured workflow — derived from this code’s own official record

Before you code I70.308

  1. Unspecified does not mean incorrect. When the record gives no greater specificity, I70.308 may be the appropriate code. Check the record for detail that supports a more specific sibling. An unspecified code is for records that do not provide the detail a more specific code needs; a query, not an assumption, is the route to specificity (Guidelines I.A.9.b, I.B.18).

    See the relationships section · Guide: Other vs unspecified (NEC vs NOS) →

  2. Laterality is coded in this family. Confirm the side documented — right, left, or bilateral — and select the matching code (this page’s code: unspecified). The unspecified-side code applies only when the record states no side. Laterality is assigned from the documented side; where a bilateral code exists and both sides are documented, it is used instead of two unilateral codes (Guidelines I.B.13).

    See the relationships section · Guide: Laterality coding →

  3. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with I70.308. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the record document the detail a more specific sibling code needs?
    Yes → Review the specific siblings in this subcategory.
    No → Continue — I70.308 is appropriate when the documentation goes no further.
  2. Does the documentation support a condition named in I70.308’s Excludes1 note?
    Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
    No → Continue.

    ReviewT82.8

  3. Is the side documented?
    Yes → Select the code for the documented side (or the bilateral code when both sides are documented and one exists).
    No → Use the unspecified-side code only when the record states no side; a query is the alternative.

Consider I70.308. Then work the Use Additional Code note, and confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Laterality
Right, left or bilateral as documented; unspecified only when the record states no side (Guidelines I.B.13).
The conditions the Use Additional Code note names
Reported with this code when documented; a conditional instruction (“if applicable”, “if known”) applies only when the record supports it.
Any detail beyond this code’s title
What the record states that a more specific sibling code would capture — or its absence, which itself supports the unspecified code.

Official instructions as workflow

  • Excludes1 — check before selecting I70.308(1 note)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with I70.308: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareT82.8

    See the official tabular notes · Guidelines I.A.12.a

  • Excludes2 — not part of I70.308(8 notes)

    Coding workflow: The conditions named in this note are not included in I70.308. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareI25.1, I75, I67.2, K55.1, I27.0

    See the official tabular notes · Guidelines I.A.12.b

  • Use Additional Code — after identifying I70.308(7 notes)

    Coding workflow: Check whether the documentation supports the additional code(s) the note names, and report them with I70.308 when it does. Where the instruction is conditional (“if applicable”, “if known”), it applies only when the record documents the condition.

    ReviewI70.92, Z77.22, Z87.891, Z57.31, F17, Z72.0

    See the official tabular notes · Guidelines I.A.13

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: The provider documents the condition in the terms of this code’s title and records no further detail.

Coding question: Is a more specific sibling code supportable?

Path: Review the subcategory for a sibling that names the missing detail.

Reason: A more specific code needs documentation of the distinguishing element; without it the unspecified code is appropriate, and a provider query is the route to specificity (Guidelines I.A.9.b, I.B.18).

Documentation: Both the condition I70.308 describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewT82.8

Documentation: The record documents the condition on one side only.

Coding question: Which code in this family applies?

Path: Select the sibling code for the documented side.

Reason: Laterality is assigned from the documented side; the unspecified-side code is for records that state no side (Guidelines I.B.13).

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Code Overview

Unspecified atherosclerosis of unspecified type of bypass graft(s) of the extremities, other extremity is a billable ICD-10-CM diagnosis code (I70.308).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Indexed Clinical Terms (1)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Decision Points

The directives on this code's own record, as a pre-claim checklist.

  1. 7 Use Additional Code instructions — report the named additional code(s) when the documentation supports them. See the Use Additional Code notes
  2. 1 Excludes1 entry — codes named there are generally not reported together with this code (Guidelines I.A.12.a). See the Excludes1 notes
  3. 8 Excludes2 entries — those conditions are not part of this code and may be reported additionally when documented. See the Excludes2 notes

Checklist rows are derived from this code's own official directives; the wording of each check is MedCoder editorial. The official notes themselves are in the sections each row links to.

Verify Before Coding

  • Age-restricted: the Medicare Code Editor lists this as an adult (age 15-124) diagnosis; other ages are presumed incorrect.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name I70.308 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 1 Excludes1 note: I77.6 — Arteritis, unspecified (via I70.-).

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 1 Code First instruction: I70.92 — Chronic total occlusion of artery of the extremities (via I70.3.-).

Each of these codes carries a Code First note naming this condition — when that code is reported, THIS code is sequenced first, ahead of it.

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

FY2026 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.

Named in the grouper logic of 3 MS-DRGs: DRG 299 (MDC 05), DRG 300 (MDC 05), DRG 301 (MDC 05).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):CIR026 — Peripheral and visceral vascular disease (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Peripheral and visceral vascular disease).

I70.268 — Atherosclerosis of native arteries of extremities with gangrene, other extremity, I70.269 — Atherosclerosis of native arteries of extremities with gangrene, unspecified extremity, I70.291 — Other atherosclerosis of native arteries of extremities, right leg, I70.292 — Other atherosclerosis of native arteries of extremities, left leg, I70.293 — Other atherosclerosis of native arteries of extremities, bilateral legs, I70.298 — Other atherosclerosis of native arteries of extremities, other extremity, I70.299 — Other atherosclerosis of native arteries of extremities, unspecified extremity, I70.301 — Unspecified atherosclerosis of unspecified type of bypass graft(s) of the extremities, right leg, I70.302 — Unspecified atherosclerosis of unspecified type of bypass graft(s) of the extremities, left leg, I70.303 — Unspecified atherosclerosis of unspecified type of bypass graft(s) of the extremities, bilateral legs, I70.309 — Unspecified atherosclerosis of unspecified type of bypass graft(s) of the extremities, unspecified extremity, I70.311 — Atherosclerosis of unspecified type of bypass graft(s) of the extremities with intermittent claudication, right leg, I70.312 — Atherosclerosis of unspecified type of bypass graft(s) of the extremities with intermittent claudication, left leg, I70.313 — Atherosclerosis of unspecified type of bypass graft(s) of the extremities with intermittent claudication, bilateral legs, I70.318 — Atherosclerosis of unspecified type of bypass graft(s) of the extremities with intermittent claudication, other extremity, I70.319 — Atherosclerosis of unspecified type of bypass graft(s) of the extremities with intermittent claudication, unspecified extremity, I70.321 — Atherosclerosis of unspecified type of bypass graft(s) of the extremities with rest pain, right leg, I70.322 — Atherosclerosis of unspecified type of bypass graft(s) of the extremities with rest pain, left leg, I70.323 — Atherosclerosis of unspecified type of bypass graft(s) of the extremities with rest pain, bilateral legs, I70.328 — Atherosclerosis of unspecified type of bypass graft(s) of the extremities with rest pain, other extremity, +255 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Arteriosclerosis, arteriosclerotic”; these codes share that main term but sit in a different category of the Tabular List.

I25.760 — Atherosclerosis of bypass graft of coronary artery of transplanted heart with unstable angina (coronary, transplanted heart, bypass graft, with, angina pectoris, unstable), I25.761 — Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris with documented spasm (coronary, transplanted heart, bypass graft, with, angina pectoris, with documented spasm), I25.762 — Atherosclerosis of bypass graft of coronary artery of transplanted heart with refractory angina pectoris (coronary, transplanted heart, bypass graft, with, angina pectoris, refractory), I25.768 — Atherosclerosis of bypass graft of coronary artery of transplanted heart with other forms of angina pectoris (coronary, transplanted heart, bypass graft, with, angina pectoris, specified type), I25.769 — Atherosclerosis of bypass graft of coronary artery of transplanted heart with unspecified angina pectoris (coronary, transplanted heart, bypass graft, with, angina pectoris), I25.790 — Atherosclerosis of other coronary artery bypass graft(s) with unstable angina pectoris (coronary, bypass graft, specified type NEC, with, angina pectoris, unstable), I25.791 — Atherosclerosis of other coronary artery bypass graft(s) with angina pectoris with documented spasm (coronary, bypass graft, specified type NEC, with, angina pectoris, with documented spasm), I25.792 — Atherosclerosis of other coronary artery bypass graft(s) with refractory angina pectoris (coronary, bypass graft, specified type NEC, with, angina pectoris, refractory), I25.798 — Atherosclerosis of other coronary artery bypass graft(s) with other forms of angina pectoris (coronary, bypass graft, specified type NEC, with, angina pectoris, specified type), I25.799 — Atherosclerosis of other coronary artery bypass graft(s) with unspecified angina pectoris (coronary, bypass graft, specified type NEC, with, angina pectoris), I25.810 — Atherosclerosis of coronary artery bypass graft(s) without angina pectoris (coronary, bypass graft), I25.811 — Atherosclerosis of native coronary artery of transplanted heart without angina pectoris (coronary, transplanted heart), I25.812 — Atherosclerosis of bypass graft of coronary artery of transplanted heart without angina pectoris (coronary, transplanted heart, bypass graft), I25.83 — Coronary atherosclerosis due to lipid rich plaque (coronary, due to, lipid rich plaque), I25.84 — Coronary atherosclerosis due to calcified coronary lesion (coronary, due to, calcified coronary lesion), I27.0 — Primary pulmonary hypertension (pulmonary), I51.4 — Myocarditis, unspecified (myocarditis), I65.2 — Occlusion and stenosis of carotid artery (carotid), I67.2 — Cerebral atherosclerosis (brain), K55.1 — Chronic vascular disorders of intestine (mesenteric), +32 more

Lab tests where this diagnosis supports Medicare coverage (NCD)

Medicare's National Coverage Determination (NCD) program lists this diagnosis as medical justification for these lab tests.

Lipid Panel, Prothrombin Time Test and INR (PT/INR)

Contextual Map

Every relationship of I70.308 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run I70.308 with these 2 related codes in Claim Check

Hierarchy

Referenced by Excludes1 notes

Referenced by Code First instructions

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • MDC 05 — Diseases and Disorders of the Circulatory System[MDC crossing]: “Diseases and Disorders of the Circulatory System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 17,209 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026

Index entries

  • Arteriosclerosis, arteriosclerotic (diffuse) (obliterans) (of) (senile) (with calcification), extremities (native arteries), bypass graft, specified NEC[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026

Nearest codes (40)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Unspecified atherosclerosis of unspecified type of bypass graft(s) of the extremities, other extremity

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to I70.308 in its code family, with their registry titles.

View all codes in the I70 family