2026 ICD-10-CM Diagnosis Code I70.228Atherosclerosis of native arteries of extremities with rest pain, other extremity

ICD-10-CM Codes›I00–I99›I70-I79›I70

ICD-10-CM I70.228
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

I70.228 is a billable ICD-10-CM diagnosis code for atherosclerosis of native arteries of extremities with rest pain, other extremity. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 299 through 301. The code is restricted by the Medicare Code Editor to adult patients (age 15 through 124). Coders also document this condition as bilateral upper limb pain at rest due to atherosclerosis. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Peripheral and visceral vascular disease.

Code Identity

ICD-10-CM Code
I70.228
Billable Status
Yes — Valid for Submission
Code Describes
Atherosclerosis of native arteries of extremities with rest pain, other extremity
Short Description
Athscl native arteries of extrm w rest pain, oth extremity
Parent Code
I70.22
Atherosclerosis of native arteries of extremities with rest pain

Code Classification

ChapterI00–I99Diseases of the circulatory system
SectionI70-I79Diseases of arteries, arterioles and capillaries
CategoryI70Atherosclerosis
This CodeI70.228Atherosclerosis of native arteries of extremities with rest pain, other extremity

Code EditsBilling

Medicare Code Editor checks that affect claim validity for I70.228.

Adult diagnoses
The Medicare Code Editor detects inconsistencies in adult cases by checking a patient's age and any diagnosis on the patient's record. The adult code edits apply to patients age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Bilateral upper limb pain at rest due to atherosclerosis
  • Pain at rest of left upper limb due to atherosclerosis
  • Pain at rest of right upper limb due to atherosclerosis
  • Peripheral vascular disease with rest pain

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Arteriosclerosis, arteriosclerotic(diffuse) (obliterans) (of) (senile) (with calcification)
      • extremities (native arteries)
        • specified site NEC
          • with
            • rest pain (and intermittent claudication)

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR CIR026
Peripheral and visceral vascular disease
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Atherosclerosis

Atherosclerosis is a condition in which plaque builds up inside your arteries. Plaque is a sticky substance made up of cholesterol, fat, blood cells, calcium, and other substances found in the blood. Over time, plaque hardens and causes your arteries to narrow. That limits the flow of oxygen-rich blood to your body.

The full article covers:

  • What is atherosclerosis?
  • What causes atherosclerosis?
  • Who is more likely to develop atherosclerosis?
  • What are the symptoms of atherosclerosis?
  • What other problems can atherosclerosis cause?
  • How is atherosclerosis diagnosed?
  • What are the treatments for atherosclerosis?
  • Can atherosclerosis be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert I70.228 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
440.22 Ath ext ntv at w rst pn
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About I70.228Overview

Is I70.228 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report atherosclerosis of native arteries of extremities with rest pain, other extremity on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does I70.228 group to?

When atherosclerosis of native arteries of extremities with rest pain, other extremity is the principal diagnosis on an inpatient stay, it groups to MS-DRG 299, 300, 301, with relative weights from 0.7197 to 1.6327 depending on complications. Higher weights mean higher Medicare reimbursement.

Who can I70.228 be reported for?

The Medicare Code Editor checks atherosclerosis of native arteries of extremities with rest pain, other extremity against patient demographics: this code is intended for adult patients (age 15 through 124). Claims outside these limits are flagged as inconsistent.

What is the ICD-9 equivalent of I70.228?

Under the General Equivalence Mappings, atherosclerosis of native arteries of extremities with rest pain, other extremity converts to ICD-9-CM 440.22 (ath ext ntv at w rst pn). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.