I70.719

Billable

Atherosclerosis of other type of bypass graft(s) of the extremities with intermittent claudication, unspecified extremity

HCC Category Mapping

V24HCC 108 — Vascular Disease

0.297

ESRDHCC 108 — Vascular Disease

0.000

What This Code Means

This code describes a condition where fatty deposits have built up in a bypass graft (a surgically placed blood vessel) in the leg or arm, causing pain or cramping during walking that goes away with rest. The specific leg or arm affected is not specified.

Coding Tips

•Verify the documentation specifies intermittent claudication (leg pain with activity) and confirm the bypass graft type is not aortocoronary, femoropopliteal, or tibioperoneal before assigning this 'other type' code
•Ensure the extremity location is truly unspecified in the medical record; if documented, use a more specific code (I70.711 for right leg, I70.712 for left leg, I70.713 for bilateral, I70.718 for other specified extremity)

Clinical Significance

This code captures atherosclerosis affecting other type bypass graft(s) of the extremities with intermittent claudication in the unspecified extremity, representing Fontaine Stage II peripheral arterial disease. Claudication in the context of bypass graft atherosclerosis indicates graft stenosis or progressive native vessel disease causing reproducible exercise-induced muscle pain. While less immediately threatening than rest pain or gangrene, this signals graft compromise requiring surveillance duplex imaging and potential intervention.

Documentation Requirements

✓Confirmed diagnosis of atherosclerosis affecting other type bypass graft(s)
✓Type of bypass graft material documented (synthetic/nonbiological vs. other type such as composite or mixed-material graft)
✓Laterality clearly documented (unspecified extremity)
✓History of bypass graft surgery with approximate date or timeframe
✓Current status and monitoring plan for the bypass graft
✓Documentation of exercise-induced muscle pain with specific walking distance or duration before onset
✓Relief of symptoms with rest and reproduction with activity
✓Vascular studies (ankle-brachial index at rest and post-exercise) confirming arterial etiology
✓Differentiation from spinal stenosis (neurogenic claudication) and other causes of leg pain with activity

Commonly Confused Codes

I70.611-I70.619 — Atherosclerosis of nonbiological bypass graft with claudication; specifically for synthetic grafts (e.g., Dacron, PTFE)I70.511-I70.519 — Atherosclerosis of nonautologous biological bypass graft with claudication; for cadaveric or bovine vein grafts I70.411-I70.419 — Atherosclerosis of autologous vein bypass graft with claudication; for patient's own vein graft I70.311-I70.319 — Atherosclerosis of unspecified bypass graft with claudication; only when graft type is unknown I70.211-I70.219 — Atherosclerosis of native arteries with claudication; for disease in native vessels, not grafts M47.816-M47.819 — Spondylosis with neurogenic claudication; spinal stenosis mimicking vascular claudication

Code Hierarchy

└I70Atherosclerosis └I70.7Atherosclerosis of other type of bypass graft(s) of the extremities └I70.71Atherosclerosis of other type of bypass graft(s) of the extremities with intermittent claudication └I70.719Atherosclerosis of other type of bypass graft(s) of the extremities with intermittent claudication, unspecified extremity

└I70.719Atherosclerosis of other type of bypass graft(s) of the extremities with intermittent claudication, unspecified extremity