2027 ICD-10-CM Diagnosis Code I72.4Aneurysm of artery of lower extremity

ICD-10-CM Codes›I00–I99›I70-I79›I72

ICD-10-CM I72.4
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

I72.4 is a billable ICD-10-CM diagnosis code for aneurysm of artery of lower extremity. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 299 through 301. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Aortic; peripheral; and visceral artery aneurysms.

I72.4 no longer risk-adjusts for Medicare Advantage: it mapped to HCC 108 under the retired CMS-HCC V24 model through payment year 2025 but maps to no category in the live V28 model. It still risk-adjusts in the PACE (CMS-HCC V22) category 108, ESRD (V21) category 108, and ESRD (V24) category 108 for payment year 2027.

Code Identity

ICD-10-CM Code
I72.4
Billable Status
Yes — Valid for Submission
Code Describes
Aneurysm of artery of lower extremity
Short Description
Aneurysm of artery of lower extremity
Same as the full description in the CMS dataset.
Parent Code
I72
Other aneurysm

Code Classification

ChapterI00–I99Diseases of the circulatory system
SectionI70-I79Diseases of arteries, arterioles and capillaries
CategoryI72Other aneurysm
This CodeI72.4Aneurysm of artery of lower extremity

Medicare Risk Adjustment (HCC)Billing

I72.4 no longer risk-adjusts for Medicare Advantage: it maps to no payment category in the live CMS-HCC V28 model, although it still risk-adjusts in the other CMS models shown below.

CMS-HCC V28 (Medicare Advantage Payment Model)
Not mapped
Dropped in V28 see all codes that no longer risk-adjust
Prior Model (CMS-HCC V24)
HCC 108
V24 retired last contributed to a Medicare Advantage risk score in payment year 2025
Other CMS Models
PACE (CMS-HCC V22): HCC 108 · ESRD (V21): HCC 108 · ESRD (V24): HCC 108
ESRD V21 weights: 0.065 dialysis, 0.086–0.271 functioning graft · ESRD V24 weights: 0.073 dialysis, 0.074–0.287 functioning graft
Part D (RxHCC)
Not mapped
I72.4 does not risk-adjust in the RxHCC prescription drug model

Source: CMS Payment Year 2027 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Aneurysm of artery of left lower limb
  • Aneurysm of artery of lower extremity
  • Aneurysm of artery of right lower limb
  • Aneurysm of femoral artery
  • Aneurysm of left femoral artery
  • Aneurysm of left popliteal artery
  • Aneurysm of popliteal artery
  • Aneurysm of right femoral artery
  • Aneurysm of right popliteal artery
  • Anterior tibial aneurysm
  • Arterial obstruction due to thrombotic embolism from aneurysm of artery
  • Arterial obstruction due to thrombotic embolism from aneurysm of popliteal artery
  • Common femoral aneurysm
  • Dorsalis pedis aneurysm
  • False aneurysm of artery
  • Femoral false aneurysm
  • Injury of popliteal artery
  • Post-catheterization femoral pseudoaneurysm
  • Posterior tibial aneurysm
  • Post-radiological femoral false aneurysm
  • Profunda femoris aneurysm
  • Rupture popliteal artery
  • Ruptured popliteal artery aneurysm
  • Superficial femoral aneurysm

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to I72.4: its own notes plus those printed at I72 and Chapter 9. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From I72 Other aneurysm applies to 9 codes
  • aneurysm (cirsoid) (false) (ruptured)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From I72 Other aneurysm applies to 9 codes
  • acquired aneurysm (I77.0)
  • aneurysm (of) aorta (I71.-)
  • aneurysm (of) arteriovenous NOS (Q27.3-)
  • carotid artery dissection (I77.71)
  • cerebral (nonruptured) aneurysm (I67.1)
  • coronary aneurysm (I25.4)
  • coronary artery dissection (I25.42)
  • dissection of artery NEC (I77.79)
  • dissection of precerebral artery, congenital (nonruptured) (Q28.1)
  • heart aneurysm (I25.3)
  • iliac artery dissection (I77.72)
  • precerebral artery, congential (nonruptured) (Q28.1)
  • pulmonary artery aneurysm (I28.1)
  • renal artery dissection (I77.73)
  • retinal aneurysm (H35.0)
  • ruptured cerebral aneurysm (I60.7)
  • varicose aneurysm (I77.0)
  • vertebral artery dissection (I77.74)
From Chapter 9 (I00-I99) Diseases of the circulatory system applies to 1,433 codes
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • systemic connective tissue disorders (M30-M36)
  • transient cerebral ischemic attacks and related syndromes (G45.-)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

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

CCSR CIR029
Aortic; peripheral; and visceral artery aneurysms
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Aneurysms

An aneurysm is a bulge or "ballooning" in the wall of an artery. Arteries are blood vessels that carry oxygen-rich blood from the heart to other parts of the body. If an aneurysm grows large, it can burst and cause dangerous bleeding or even death.

Read the full article at MedlinePlus

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

Convert I72.4 to ICD-9-CMHistory

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

ICD-9-CM
442.3 Lower extremity aneurysm
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 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About I72.4Overview

What is the ICD-10 code for aneurysm of artery of lower extremity?

The ICD-10-CM code for aneurysm of artery of lower extremity is I72.4 (sometimes written as I724). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is I72.4 (Other aneurysm) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report aneurysm of artery of lower extremity on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does I72.4 group to?

When aneurysm of artery of lower extremity is the principal diagnosis on an inpatient stay, it groups to MS-DRG 301, 300, 299, with relative weights from 0.7132 to 1.5840 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of I72.4?

Under the General Equivalence Mappings, aneurysm of artery of lower extremity converts to ICD-9-CM 442.3 (lower extremity aneurysm). The mapping is a direct match.

Does I72.4 risk-adjust for Medicare Advantage payment?

Not for Medicare Advantage. I72.4 mapped to HCC 108 in the retired CMS-HCC V24 model, which last determined payment in 2025, but it maps to no category in the live V28 model; see all codes that no longer risk-adjust. It still risk-adjusts in the PACE (CMS-HCC V22) category 108 (Vascular Disease), ESRD (V21) category 108 (Vascular Disease), and ESRD (V24) category 108 (Vascular Disease).