I70Not billable, use a more specific code below

Atherosclerosis

In Diseases of arteries, arterioles and capillaries (I70-I79), chapter 9: Diseases of the Circulatory System

246 billable codes under I70: 91 are a CC; 150 map to HCC 263 (Atherosclerosis of Arteries of the Extremities with Ulceration or Gangrene), HCC 383 (Chronic Ulcer of Skin, Except Pressure, Not Specified as Through to Bone or Muscle), HCC 264 (Vascular Disease with Complications).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.

Advertisements

Instructional notes

Includes: conditions that are coded here

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

Excludes2: not included here, code separately if applicable

  • 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)

Use additional code: add a second code for this, listed after this one

  • code to identify:
  • exposure to environmental tobacco smoke (Z77.22)
  • history of tobacco dependence (Z87.891)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers hypertension with heart and kidney disease, coronary artery disease with angina, perioperative stroke, cerebrovascular sequelae, and acute myocardial infarction types and timing.

Read Section I.C.9 (page 50)

All codes under I70

I70 can't be used on a claim. Pick a billable code below; grey headings group them.

I70 MS-DRGs

As the principal diagnosis, the billable codes under I70 group to these 8 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Other codes that refer to I70

Notes on these codes point to I70.

  • I77.6 Excludes1: deformans (I70.-)
  • I77.6 Excludes1: obliterans (I70.-)
  • I77.6 Excludes1: senile (I70.-)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Atherosclerosis

Atherosclerosis is a condition in which plaque builds up inside your arteries. Plaque is a sticky substance made up of cholesterol, fat, blood cells, calcium, and other substances found in the blood. Over time, plaque hardens and causes your arteries to narrow. That limits the flow of oxygen-rich blood to your body.

Read more about atherosclerosis on MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.