ICD-10 Code I70.663 – Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, bilateral legs (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, bilateral legs is I70.663.
2026 ICD-10-CM Diagnosis Code I70.663 – Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, bilateral legs

What it is

This code identifies atherosclerotic narrowing or blockage in a nonbiological bypass graft in the leg arteries, with gangrene affecting both legs. It indicates severe ischemic tissue death associated with graft disease.

Clinical signs

Findings may include painful, cold, or poorly perfused legs, diminished pulses, and tissue necrosis or blackened areas consistent with gangrene. Clinical features vary; refer to documentation.

When to use this code

Use this code when the record documents atherosclerosis involving a nonbiological bypass graft in the extremities and gangrene in both legs. The provider should clearly link the graft disease to the ischemic tissue loss. Check documentation if laterality or graft type is unclear.

Do not use for

Do not use this code for native artery atherosclerosis without bypass graft involvement or for gangrene without documented atherosclerotic graft disease. Do not assign it when the graft type or bilateral leg involvement is not confirmed.

Coding tip

Confirm both the nonbiological graft and bilateral leg gangrene in the provider note before assigning I70.663.

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