I70.92 Chronic total occlusion of artery of the extremities

Billable ICD-10-CM code, FY2026. Acts as a Complication or Comorbidity (CC) as a secondary diagnosis.

Applicable to

• Complete occlusion of artery of the extremities
• Total occlusion of artery of the extremities

Code first

• atherosclerosis of arteries of the extremities (I70.2-, I70.3-, I70.4-, I70.5-, I70.6-, I70.7-)

Applies from I70 Atherosclerosis

Includes

• arteriolosclerosis
• arterial degeneration
• arteriosclerosis
• arteriosclerotic vascular disease
• arteriovascular degeneration
• atheroma
• endarteritis deformans or obliterans
• senile arteritis
• senile endarteritis
• vascular degeneration

Excludes2 (not included here)

• arteriosclerotic cardiovascular disease (I25.1-)
• arteriosclerotic heart disease (I25.1-)
• atheroembolism (I75.-)
• cerebral atherosclerosis (I67.2)
• coronary atherosclerosis (I25.1-)
• mesenteric atherosclerosis (K55.1)
• precerebral atherosclerosis (I67.2)
• primary pulmonary atherosclerosis (I27.0)

Use additional code

• code to identify:
• exposure to environmental tobacco smoke (Z77.22)
• history of tobacco dependence (Z87.891)
• occupational exposure to environmental tobacco smoke (Z57.31)
• tobacco dependence (F17.-)
• tobacco use (Z72.0)

Applies from I70.9 Other and unspecified atherosclerosis

Excludes2 (not included here)

• disorders of pyrophosphate metabolism (E83.82-)

Risk adjustment (HCC)

• CMS-HCC V22: HCC 108 — Vascular Disease
• ESRD V24: HCC 108

MS-DRG index

Defines the logic of DRG(s) 299-301 in MDC 05.

Approximate ICD-9-CM (GEMs)

• 440.4 Chronic total occlusion of artery of the extremities

Medicare Code Edits (MCE v43.1 (April 2026))

• Adult diagnoses (age 15 through 124): Age conflict edit. These diagnoses are clinically expected only in patients age 15 through 124.
• Unacceptable principal diagnosis: These codes describe a circumstance which influences care but is not a current illness or injury, or capture only an underlying condition, and are unacceptable as principal diagnosis.

Code annotations containing back-references to I70.92

Back-references to I70.92

• Use Additional: I70.2 Atherosclerosis of native arteries of the extremities ("code, if applicable, to identify chronic total occlusion of artery of extremity (I70.92)")
• Use Additional: I70.3 Atherosclerosis of unspecified type of bypass graft(s) of the extremities ("code, if applicable, to identify chronic total occlusion of artery of extremity (I70.92)")
• Use Additional: I70.4 Atherosclerosis of autologous vein bypass graft(s) of the extremities ("code, if applicable, to identify chronic total occlusion of artery of extremity (I70.92)")
• Use Additional: I70.5 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities ("code, if applicable, to identify chronic total occlusion of artery of extremity (I70.92)")
• Use Additional: I70.6 Atherosclerosis of nonbiological bypass graft(s) of the extremities ("code, if applicable, to identify chronic total occlusion of artery of extremity (I70.92)")
• Use Additional: I70.7 Atherosclerosis of other type of bypass graft(s) of the extremities ("code, if applicable, to identify chronic total occlusion of artery of extremity (I70.92)")

Back-references to I70

• Type 1 Excludes: I77.6 Arteritis, unspecified ("deformans (I70.-)")
• Type 1 Excludes: I77.6 Arteritis, unspecified ("obliterans (I70.-)")
• Type 1 Excludes: I77.6 Arteritis, unspecified ("senile (I70.-)")

Diagnosis Index entries for I70.92

• Occlusion, occluded › artery › complete › extremities
• Occlusion, occluded › artery › total (chronic) › extremities

Nearby codes

• I70.799 Other atherosclerosis of other type of bypass graft(s) of the extremities, unspecified extremity
• I70.8 Atherosclerosis of other arteries
• I70.9 Other and unspecified atherosclerosis
• I70.90 Unspecified atherosclerosis
• I70.91 Generalized atherosclerosis
• I70.92 Chronic total occlusion of artery of the extremities (this code)