ICD-10-CM Billable Code

I70.313

Atherosclerosis of unspecified type of bypass graft(s) of the extremities with intermittent claudication, bilateral legs

Clinical Classification Guidelines

Medical Intelligence & Overview

Atherosclerosis of unspecified type of bypass grafts of the extremities with intermittent claudication affecting both legs is a condition where plaque builds up inside the arteries of the legs, specifically around bypass grafts used to reroute blood flow. This buildup narrows the arteries, reducing blood flow, which can cause symptoms like leg pain during activity. Recognizing this condition is essential for managing symptoms and preventing further complications.

Causes & Symptoms

Clinical Causes: Build-up of fatty deposits, cholesterol, and other substances inside the arteries (atherosclerosis). Progression of existing cardiovascular disease affecting leg arteries. Presence of risk factors such as smoking, high cholesterol levels, high blood pressure, and diabetes. Previous vascular surgeries involving bypass grafts that can develop blockages over time. Chronic inflammation of the vessel walls.

Key Symptoms: Intermittent claudication—leg pain or cramping that occurs during walking or exertion and eases with rest. Weakness or numbness in the legs. Coldness or numbness in the affected legs or feet. Changes in skin color, such as paleness or blueness of the legs or feet. Slow healing or non-healing wounds or ulcers on the legs or feet. Reduced or absent pulse in the affected arteries.

Diagnostic & Treatment

Diagnosis Path: To diagnose this condition, healthcare providers typically perform a physical exam assessing pulse strength, look for skin changes, and may use imaging tests such as Doppler ultrasound, angiography, or CT scans. These tests help visualize blood flow and identify blockages or narrowing in the arteries around the bypass grafts.

Treatment Protocols: Managing this condition involves addressing symptoms and preventing progression or complications. Approaches may include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is I70.313 a billable ICD-10 code?
Yes, I70.313 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report I70.313?
Clinical documentation must specify the nature of Atherosclerosis of unspecified type of bypass graft(s) of the extremities with intermittent claudication, bilateral legs and any associated comorbidities for accurate reporting.

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