2026 ICD-10-CM Diagnosis Code I70.92Chronic total occlusion of artery of the extremities

ICD-10-CM Codes›I00–I99›I70-I79›I70

ICD-10-CM I70.92
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

I70.92 is a billable ICD-10-CM diagnosis code for chronic total occlusion of artery of the extremities. 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) and not accepted as a principal diagnosis. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Peripheral and visceral vascular disease.

Code Identity

ICD-10-CM Code
I70.92
Billable Status
Yes — Valid for Submission
Code Describes
Chronic total occlusion of artery of the extremities
Short Description
Chronic total occlusion of artery of the extremities
Same as the full description in the CMS dataset.
Parent Code
I70.9
Other and unspecified atherosclerosis

Code Classification

ChapterI00–I99Diseases of the circulatory system
SectionI70-I79Diseases of arteries, arterioles and capillaries
CategoryI70Atherosclerosis
This CodeI70.92Chronic total occlusion of artery of the extremities

Code EditsBilling

Medicare Code Editor checks that affect claim validity for I70.92.

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).
Unacceptable principal diagnosis
There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

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

Code First

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.

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

Clinical ClassificationClinical

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

CCSR CIR026
Peripheral and visceral vascular disease
Default principal diagnosis: inpatient No · 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 I70.92 to ICD-9-CMHistory

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

ICD-9-CM
440.4 Chr tot occl art extrem
Exact Match The mapping is direct, with no qualifiers.

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 I70.92Overview

Is I70.92 (Other and unspecified atherosclerosis) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report chronic total occlusion of artery of the extremities on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does I70.92 group to?

On inpatient claims, chronic total occlusion of artery of the extremities maps to MS-DRG 299, 300, 301, with relative weights from 0.7197 to 1.6327 depending on complications. Higher weights mean higher Medicare reimbursement.

Can I70.92 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because chronic total occlusion of artery of the extremities describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Who can I70.92 be reported for?

The Medicare Code Editor checks chronic total occlusion of artery of the extremities 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 I70.92?

Under the General Equivalence Mappings, chronic total occlusion of artery of the extremities converts to ICD-9-CM 440.4 (chr tot occl art extrem). The mapping is a direct match.

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.