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I70.601

Billable

Unspecified atherosclerosis of nonbiological bypass graft(s) of the extremities, right leg

HCC Category Mapping

V24HCC 108Vascular Disease
0.297
ESRDHCC 108Vascular Disease
0.000

What This Code Means

Hardening of arteries in a surgically placed synthetic or other nonbiological bypass graft in the right leg.

Coding Tips

  • Verify the graft material is nonbiological (synthetic, mechanical, or other non-tissue material) to distinguish from biological grafts
  • Confirm right leg laterality is documented to ensure accurate code assignment

Clinical Significance

This code captures atherosclerosis of a nonbiological bypass graft without specification of the clinical manifestation (such as claudication, rest pain, ulceration, or gangrene). While this code indicates the presence of graft atherosclerosis, it lacks the specificity needed to fully convey disease severity. Coders should query the provider for more specific documentation whenever possible to ensure accurate risk stratification.

Documentation Requirements

  • Documentation of the type of bypass graft as nonbiological (must distinguish from autologous vein, nonautologous biological, or synthetic/nonbiological grafts)
  • Clinical evidence of atherosclerosis affecting the bypass graft (imaging, angiography, or clinical assessment)
  • Clinical findings supporting atherosclerosis of the bypass graft
  • Query provider for specific manifestation (claudication, rest pain, ulceration, or gangrene) to allow more precise coding
  • Clear documentation of laterality specifying the right leg

Commonly Confused Codes

Code Hierarchy

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