ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 I70.339

Billable / Specific HCC v28: 161 CC

Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of unspecified site

I70
Block
0
Synonyms
98
LCDs
4
Payer Policies
0
Linked CPTs

About ICD-10-CM I70.339

ICD-10-CM code I70.339 represents Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of unspecified site. This is a billable/specific code in the Circulatory System chapter (block I70). The 2026 edition of ICD-10-CM I70.339 became effective on October 1, 2025.

Coding Tips for I70.339

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

HCC capture: document with MEAT each year

I70.339 is a CMS-HCC v28 risk-adjustment code (category 161). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.

Inpatient DRG impact: CC

I70.339 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Medicare Advantage HCC Impact

CMS-HCC v28 (current)
Category 161
ESRD-HCC
Category 161
RxHCC (Part D)
Category 161

Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.

Inpatient DRG Impact, CC

codes Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of unspecified site. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for I70.339

Local Coverage Determinations (LCDs) from CMS MACs that list I70.339 as a covered diagnosis.

98 LCDs

Showing top 10 of 98 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 56680, Effective: 2025-11-01 00:00:00, 1041 covered, 0 non-covered
CPT 11719 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 56680, Effective: 2025-11-01 00:00:00, 1041 covered, 0 non-covered
CPT 11721 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 56680, Effective: 2025-11-01 00:00:00, 1041 covered, 0 non-covered
CPT 11057 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 56680, Effective: 2025-11-01 00:00:00, 1041 covered, 0 non-covered
CPT 11720 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 56680, Effective: 2025-11-01 00:00:00, 1041 covered, 0 non-covered
CPT G0127 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 56680, Effective: 2025-11-01 00:00:00, 1041 covered, 0 non-covered
CPT 11055 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 56680, Effective: 2025-11-01 00:00:00, 1041 covered, 0 non-covered
CPT 11056 →
CMS LCD: Billing and Coding: Outpatient Occupational Therapy
Article ID: 53064, Effective: 2026-01-01 00:00:00, 8021 covered, 0 non-covered
CPT 29131 →
CMS LCD: Billing and Coding: Outpatient Occupational Therapy
Article ID: 53064, Effective: 2026-01-01 00:00:00, 8021 covered, 0 non-covered
CPT 29260 →
CMS LCD: Billing and Coding: Outpatient Occupational Therapy
Article ID: 53064, Effective: 2026-01-01 00:00:00, 8021 covered, 0 non-covered
CPT 97129 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing I70.339.

4 policies

1 Cigna

Electrical Stimulation Therapy and Devices in a Home Setting - (0160)
Policy ID: MM_0160

3 Medicare

Billing and Coding: Outpatient Occupational Therapy
Policy ID: ART-53064
Billing and Coding: Foot Care
Policy ID: ART-56232
Billing and Coding: Routine Foot Care
Policy ID: ART-56680

CPT Codes Commonly Billed with I70.339

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for I70.339

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert I70.339 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
I70.339 44030 10111
I70.339 70719 10112

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To I70.339

Other codes in section I70-I79 (Diseases of arteries, arterioles and capillaries).

I70 Atherosclerosis (non-billable) I70.0 Atherosclerosis of aorta I70.1 Atherosclerosis of renal artery I70.2 Atherosclerosis of native arteries of the extremities (non-billable) I70.20 Unspecified atherosclerosis of native arteries of extremities (non-billable) I70.201 Unspecified atherosclerosis of native arteries of extremities, right leg I70.202 Unspecified atherosclerosis of native arteries of extremities, left leg I70.203 Unspecified atherosclerosis of native arteries of extremities, bilateral legs I70.208 Unspecified atherosclerosis of native arteries of extremities, other extremity I70.209 Unspecified atherosclerosis of native arteries of extremities, unspecified extremity I70.21 Atherosclerosis of native arteries of extremities with intermittent claudication (non-billable) I70.211 Atherosclerosis of native arteries of extremities with intermittent claudication, right leg I70.212 Atherosclerosis of native arteries of extremities with intermittent claudication, left leg I70.213 Atherosclerosis of native arteries of extremities with intermittent claudication, bilateral legs I70.218 Atherosclerosis of native arteries of extremities with intermittent claudication, other extremity I70.219 Atherosclerosis of native arteries of extremities with intermittent claudication, unspecified extremity I70.22 Atherosclerosis of native arteries of extremities with rest pain (non-billable) I70.221 Atherosclerosis of native arteries of extremities with rest pain, right leg I70.222 Atherosclerosis of native arteries of extremities with rest pain, left leg I70.223 Atherosclerosis of native arteries of extremities with rest pain, bilateral legs

ICD-10 I70.339, Billing FAQ

Is ICD-10 code I70.339 billable? +

Yes, I70.339 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Does I70.339 affect Medicare Advantage HCC risk adjustment? +

Yes. I70.339 maps to CMS-HCC v28 category 161. Capture this diagnosis annually for accurate Medicare Advantage risk score.

Is I70.339 a CC or MCC for inpatient DRG? +

Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

What ICD-9 codes does I70.339 map to? +

Per CMS GEMs, I70.339 maps to ICD-9 codes: 44030, 70719. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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