I70.493 ICD-10-CM Code: Other atherosclerosis of autologous vein bypass graft(s) of the extremities, bilateral legs
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FY 2026 Apr update / Diseases of the circulatory system (I00-I99) / Diseases of arteries, arterioles and capillaries (I70-I79)
I70.493
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceOther atherosclerosis of autologous vein bypass graft(s) of the extremities, bilateral legs
Hardening of arteries in vein grafts used to bypass blocked arteries in both legs, without ulceration or gangrene.
Buddy Insight
This code captures other specified manifestations of atherosclerosis in a autologous vein bypass graft, covering presentations that do not fit the specific categories of claudication, rest pain, ulceration, or gangrene.
CMS-HCC V28
00
RAF 0
CMS-HCC V24
MappedHCC 108
RAF 0.297
ACA/HHS
00
RAF 0
ESRD/PACE
MappedHCC 108
RAF 0.0
RXHCC
00
RAF 0
Code Trumping
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Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for I70.493 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for I70.493 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for I70.493 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for I70.493 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for I70.493 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for I70.493 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for I70.493 in this effective period.
Buddy Documentation Tip
MEAT Support
Audit Caution
Common Mistakes
Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.
Is I70.493 an HCC code?
Yes. I70.493 maps to Vascular Disease under the V24 model but is not retained in V28.
HCC Category Mapping
RAF weights shown are the community, non-dual, aged base weights from the CMS risk adjustment model file. Actual per-patient RAF contribution depends on member segment, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains in use during the transition and for historical data.
MEAT Criteria for I70.493
For I70.493to count as a valid HCC diagnosis in a given encounter, the provider's documentation must show MEAT: Monitor, Evaluate, Assess, or Treat. A diagnosis from a prior year does not carry forward automatically, it has to be re-documented and supported each calendar year.
- MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
- EEvaluate: test results, medication response, or physical findings reviewed by the provider
- AAssess: explicit mention in the assessment or plan with acknowledgment of status
- TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis
Only one of M/E/A/T is required to support the code, but the documentation must be specific enough to show that the provider actually addressed I70.493 during that encounter, not just copy-forwarded from a problem list.
What This Code Means
I70.493 is the ICD-10-CM diagnosis code for other atherosclerosis of autologous vein bypass graft(s) of the extremities, bilateral legs. Hardening of arteries in vein grafts used to bypass blocked arteries in both legs, without ulceration or gangrene. I70.493 sits in the ICD-10-CM chapter for diseases of the circulatory system (i00-i99), within the section covering diseases of arteries, arterioles and capillaries (i70-i79).
Under the older CMS-HCC V24 model, I70.493 maps to Vascular Disease (HCC 108) with a community, non-dual, aged base RAF weight of 0.297. V28 is the CMS-HCC risk adjustment model that reached 100% phase-in for payment year 2026, replacing V24 which was used during the PY2024–PY2025 transition.
This code indicates bilateral leg involvement without major complications; ensure both legs are documented. Because I70.493 maps to a payment HCC, the provider's documentation must satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) for the encounter to count toward the patient's Medicare Advantage risk adjustment score. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for I70.493 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This code indicates bilateral leg involvement without major complications; ensure both legs are documented.
- •Verify that the condition affects both extremities and that no ulceration or gangrene is present.
Clinical Significance
This code captures other specified manifestations of atherosclerosis in a autologous vein bypass graft, covering presentations that do not fit the specific categories of claudication, rest pain, ulceration, or gangrene. These may include conditions such as atheroembolism from the graft, aneurysmal degeneration, or other vascular complications requiring clinical attention. Proper code selection ensures that the full spectrum of peripheral arterial disease severity is captured for risk adjustment.
Documentation Requirements
- ✓Documentation of the type of bypass graft as autologous vein (must distinguish from autologous vein, nonautologous biological, or synthetic/nonbiological grafts)
- ✓Clinical evidence of atherosclerosis affecting the bypass graft (imaging, angiography, or clinical assessment)
- ✓Specific description of the atherosclerotic manifestation that does not fit claudication, rest pain, ulceration, or gangrene categories
- ✓Vascular assessment supporting the diagnosis
- ✓Documentation confirming bilateral involvement with findings described for each extremity
Commonly Confused Codes
- •I70.5xx: Nonautologous biological bypass graft codes; use when the graft is from a donor or animal tissue, not the patient's own vein
- •I70.6xx: Nonbiological bypass graft codes; use when a synthetic graft material (such as Dacron or polytetrafluoroethylene) is used rather than a vein
- •I70.2xx: Native artery atherosclerosis codes; use when no bypass graft is present and disease is in the patient's own arteries