I70.762

HCC Category Mapping

What This Code Means

Hardening and narrowing of a surgical bypass graft in the left leg that has progressed to tissue death (gangrene) due to poor blood flow.

Coding Tips

• •Verify documentation specifies the left leg and confirms gangrene is present; gangrene indicates severe disease requiring urgent intervention
• •Ensure the bypass graft type is documented as 'other type' rather than autologous vein or nonautologous biological material

Clinical Significance

Atherosclerosis of other type bypass graft with gangrene of the left leg represents the most severe stage of peripheral arterial disease (Fontaine Stage IV with tissue necrosis). Gangrene indicates irreversible tissue death from critical ischemia, carrying high risk for major amputation, sepsis, and mortality. This is a high-acuity condition requiring urgent vascular intervention, aggressive wound management, and often surgical amputation, making it one of the most impactful vascular HCC codes for risk adjustment.

Documentation Requirements

• ✓Gangrene explicitly documented in the left leg — wet or dry gangrene specified when possible
• ✓Atherosclerotic disease of other type bypass graft(s) confirmed as the underlying cause
• ✓Laterality documented: left leg
• ✓Type of bypass graft specified (synthetic, composite, or other non-vein/non-biological type)
• ✓Extent of gangrenous tissue described (digits, forefoot, limb segment)
• ✓Additional code(s) to identify severity of any associated ulceration (L97.-, L98.49-) when ulcers coexist
• ✓Treatment plan documented (amputation level, revascularization attempts, wound care, antibiotic therapy)
• ✓Vascular studies or surgical findings supporting the diagnosis

Commonly Confused Codes