I70.368 ICD-10-CM Code: Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, other extremity
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Tabular directives
- 13 inclusion terms · 1 Excludes1 · 8 Excludes2 · 8 use-additional codes
- Risk adjustment
- CMS-HCC V28: 1 category · CMS-HCC V22 category 106
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.
Risk Adjustment (CMS-HCC)
Payment categories this diagnosis maps to under CMS-HCC V28, payment year 2026.
- HCC 263 — Atherosclerosis of Arteries of the Extremities with Ulceration or Gangrene (supersedes HCC 264, HCC 383, HCC 409)
Other models: CMS-HCC V22 HCC 106
Risk scores depend on the enrollee's full accepted diagnosis set and segment; a category mapping alone does not determine payment.
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for I70.368 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 I70.368 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.
- any condition classifiable to I70.31-, I70.32-, I70.33-, I70.34-, I70.35inherited from I70.36
- chronic limb-threatening ischemia of unspecified type of bypass graft(s) of the extremities with gangrene inherited from I70.36
- critical limb ischemia of unspecified type of bypass graft(s) of the extremities with gangrene inherited from I70.36
- arteriolosclerosis inherited from I70
- arterial degeneration inherited from I70
- arteriosclerosis inherited from I70
- arteriosclerotic vascular disease inherited from I70
- arteriovascular degeneration inherited from I70
- atheroma inherited from I70
- endarteritis deformans or obliterans inherited from I70
- senile arteritis inherited from I70
- senile endarteritis inherited from I70
- vascular degeneration 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).
- embolism or thrombus of bypass graft(s) of extremities (T82.8-) Compare I70.368 vs T82.8 →
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.
- arteriosclerotic cardiovascular disease (I25.1-) Compare I70.368 vs I25.1 →
- arteriosclerotic heart disease (I25.1-) Compare I70.368 vs I25.1 →
- atheroembolism (I75.-) Compare I70.368 vs I75 →
- cerebral atherosclerosis (I67.2) Compare I70.368 vs I67.2 →
- coronary atherosclerosis (I25.1-) Compare I70.368 vs I25.1 →
- mesenteric atherosclerosis (K55.1) Compare I70.368 vs K55.1 →
- precerebral atherosclerosis (I67.2) Compare I70.368 vs I67.2 →
- primary pulmonary atherosclerosis (I27.0) Compare I70.368 vs I27.0 →
Source: inherited from I70
Use Additional Code
Supplementary codes the tabular list directs you to add.
- Use additional code to identify the severity of any ulcer (L97.-, L98.49-), if applicable inherited from I70.36
- 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 I70.368
MedCoder structured workflow — derived from this code’s own official record
Before you code I70.368
- Unspecified does not mean incorrect. When the record gives no greater specificity, I70.368 may be the appropriate code. Check the record for detail that supports a more specific sibling — in this subcategory the siblings differ by the presence or absence of the associated condition. 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) →
- 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).
- I70.368’s title joins a condition with an associated condition or complication. Confirm each component is documented. Where the classification presumes the link through the “with” convention, only a provider statement that the conditions are unrelated defeats it. A combination code is assigned only when it fully identifies the documented conditions; a required second code for the stage, type or manifestation is still reported when the notes ask for it (Guidelines I.B.9, I.A.15).
- Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with I70.368. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).
Choose the right path
- Does the record document the detail a more specific sibling code needs?
Yes → Review the specific siblings in this subcategory.
No → Continue — I70.368 is appropriate when the documentation goes no further. - Does the documentation support a condition named in I70.368’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
- 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 I70.368. 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 associated condition or complication
- Whether the associated condition the title names is documented; the “with” convention presumes some links, and a provider statement that the conditions are unrelated defeats it (Guidelines I.A.15).
- 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 I70.368(1 note)
Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with I70.368: 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 I70.368(8 notes)
Coding workflow: The conditions named in this note are not included in I70.368. 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 I70.368(8 notes)
Coding workflow: Check whether the documentation supports the additional code(s) the note names, and report them with I70.368 when it does. Where the instruction is conditional (“if applicable”, “if known”), it applies only when the record documents the condition.
ReviewL97, L98.49, I70.92, Z77.22, Z87.891, Z57.31
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 I70.368 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
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.
- 8 Use Additional Code instructions — report the named additional code(s) when the documentation supports them. See the Use Additional Code notes
- 1 Excludes1 entry — codes named there are generally not reported together with this code (Guidelines I.A.12.a). See the Excludes1 notes
- 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.
- CC as a secondary diagnosis (FY2026). Can raise the stay's MS-DRG severity tier.
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 I70.368 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: CC — Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 46 clinically related codes on its CMS exclusion list.
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); CIR028 — Gangrene.
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 process (MS-DRG)
Acts as CC — raises the severity of other admissions. CMS groups these diagnoses into one MS-DRG principal-diagnosis exclusion process — a CC/MCC on this list never raises severity when the principal diagnosis is also on it.
G89.22 — Chronic post-thoracotomy pain, G89.28 — Other chronic postprocedural pain, G89.29 — Other chronic pain, G89.3 — Neoplasm related pain (acute) (chronic), G89.4 — Chronic pain syndrome, I70.261 — Atherosclerosis of native arteries of extremities with gangrene, right leg, I70.262 — Atherosclerosis of native arteries of extremities with gangrene, left leg, I70.263 — Atherosclerosis of native arteries of extremities with gangrene, bilateral legs, I70.268 — Atherosclerosis of native arteries of extremities with gangrene, other extremity, I70.269 — Atherosclerosis of native arteries of extremities with gangrene, unspecified extremity, I96 — Gangrene, not elsewhere classified, R41.0 — Disorientation, unspecified, R41.1 — Anterograde amnesia, R41.2 — Retrograde amnesia, R41.3 — Other amnesia, R41.82 — Altered mental status, unspecified, R41.9 — Unspecified symptoms and signs involving cognitive functions and awareness, R44.8 — Other symptoms and signs involving general sensations and perceptions, R44.9 — Unspecified symptoms and signs involving general sensations and perceptions, R45.83 — Excessive crying of child, adolescent or adult, +25 more
Same CMS-HCC risk category (V28)
CMS maps these diagnoses to the same Hierarchical Condition Category (Atherosclerosis of Arteries of the Extremities with Ulceration or Gangrene) for risk-adjusted payment.
I70.342 — Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of calf, I70.343 — Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of ankle, I70.344 — Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of heel and midfoot, I70.345 — Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of other part of foot, I70.348 — Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of other part of lower leg, I70.349 — Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of unspecified site, I70.35 — Atherosclerosis of unspecified type of bypass graft(s) of other extremity with ulceration, I70.361 — Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, right leg, I70.362 — Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, left leg, I70.363 — Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, bilateral legs, I70.369 — Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, unspecified extremity, I70.431 — Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of thigh, I70.432 — Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of calf, I70.433 — Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of ankle, I70.434 — Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of heel and midfoot, I70.435 — Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of other part of foot, I70.438 — Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of other part of lower leg, I70.439 — Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of unspecified site, I70.441 — Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of thigh, I70.442 — Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of calf, +106 more
Related risk categories
These categories interact through CMS's HCC hierarchy — one can suppress the other's risk-adjustment weight when both are present on a claim.
Vascular Disease with Complications, Chronic Ulcer of Skin, Except Pressure, Not Specified as Through to Bone or Muscle, Amputation Status, Lower Limb/Amputation Complications
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical categories (Peripheral and visceral vascular disease, Gangrene).
I70.342 — Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of calf, I70.343 — Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of ankle, I70.344 — Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of heel and midfoot, I70.345 — Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of other part of foot, I70.348 — Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of other part of lower leg, I70.349 — Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of unspecified site, I70.35 — Atherosclerosis of unspecified type of bypass graft(s) of other extremity with ulceration, I70.361 — Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, right leg, I70.362 — Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, left leg, I70.363 — Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, bilateral legs, I70.369 — Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, unspecified extremity, I70.391 — Other atherosclerosis of unspecified type of bypass graft(s) of the extremities, right leg, I70.392 — Other atherosclerosis of unspecified type of bypass graft(s) of the extremities, left leg, I70.393 — Other atherosclerosis of unspecified type of bypass graft(s) of the extremities, bilateral legs, I70.398 — Other atherosclerosis of unspecified type of bypass graft(s) of the extremities, other extremity, I70.399 — Other atherosclerosis of unspecified type of bypass graft(s) of the extremities, unspecified extremity, I70.401 — Unspecified atherosclerosis of autologous vein bypass graft(s) of the extremities, right leg, I70.402 — Unspecified atherosclerosis of autologous vein bypass graft(s) of the extremities, left leg, I70.403 — Unspecified atherosclerosis of autologous vein bypass graft(s) of the extremities, bilateral legs, I70.408 — Unspecified atherosclerosis of autologous vein bypass graft(s) of the extremities, other extremity, +279 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.
Blood Glucose Test, Lipid Panel, Partial Thromboplastin Time (PTT) Test, Prothrombin Time Test and INR (PT/INR)
Contextual Map
Every relationship of I70.368 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 I70.368 with these 2 related codes in Claim Check
Hierarchy
- I00-I99 — Chapter 9: Diseases of the Circulatory System (I00-I99) (I00-I99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I70-I79 — Diseases of arteries, arterioles and capillaries[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Referenced by Excludes1 notes
- I77.6 — Arteritis, unspecified[Excludes1](via I70.-): “deformans (I70.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Code First instructions
- I70.92 — Chronic total occlusion of artery of the extremities[Code First](via I70.3.-): “atherosclerosis of arteries of the extremities (I70.2-, I70.3-, I70.4-, I70.5-, I70.6-, I70.7-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Clinical classification (CCSR)
- CIR026 — Peripheral and visceral vascular disease[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
- CIR028 — Gangrene[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
Risk adjustment (CMS-HCC)
- HCC 263 — Atherosclerosis of Arteries of the Extremities with Ulceration or Gangrene [CMS-HCC]: “Atherosclerosis of Arteries of the Extremities with Ulceration or Gangrene — supersedes HCC 264 (Vascular Disease with Complications), HCC 383 (Chronic Ulcer of Skin, Except Pressure, Not Specified as Through to Bone or Muscle), HCC 409 (Amputation Status, Lower Limb/Amputation Complications)”— CMS-HCC V28 · 2026
MS-DRG Grouper
- CC — Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (CC).”— CMS MS-DRG Definitions Manual (Appendix C) · FY2026
- DRG 299 — PERIPHERAL VASCULAR DISORDERS WITH MCC[MS-DRG]: “PERIPHERAL VASCULAR DISORDERS WITH MCC (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 300 — PERIPHERAL VASCULAR DISORDERS WITH CC[MS-DRG]: “PERIPHERAL VASCULAR DISORDERS WITH CC (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 301 — PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC[MS-DRG]: “PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
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, with, gangrene (and intermittent claudication, rest pain and ulcer)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
Nearest codes (40)
- I70 — Atherosclerosis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I70.331 — Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of thigh[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I70.332 — Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of calf[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I70.333 — Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of ankle[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I70.334 — Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of heel and midfoot[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I70.335 — Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of other part of foot[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I70.338 — Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of other part of lower leg[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I70.339 — Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of unspecified site[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 32 more
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
- Risk adjustment Official source data
- 2026 Mid-Year Final ICD-10 Mappings + Model Software (cms.gov/files/zip/2026-midyear-final-icd-10-mappings.zip, 2026-midyear-final-model-software.zip) — CMS-HCC V28, PY2026 mid-year final release 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
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "I70.368 — Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, other extremity." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/i70.368-atherosclerosis-of-unspecified-type-of-bypass-grafts-of-the-extremities-with-gangrene-other-extremity
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionAtherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, 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 I70.368 in its code family, with their registry titles.
- I70.35 — Atherosclerosis of unspecified type of bypass graft(s) of other extremity with ulceration
- I70.36 — Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene
- I70.361 — Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, right leg
- I70.362 — Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, left leg
- I70.363 — Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, bilateral legs
- I70.369 — Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, unspecified extremity
- I70.39 — Other atherosclerosis of unspecified type of bypass graft(s) of the extremities
- I70.391 — Other atherosclerosis of unspecified type of bypass graft(s) of the extremities, right leg
- I70.392 — Other atherosclerosis of unspecified type of bypass graft(s) of the extremities, left leg
- I70.393 — Other atherosclerosis of unspecified type of bypass graft(s) of the extremities, bilateral legs