I70.92
Chronic total occlusion of artery of the extremities
I70.92 (also written I7092) is a billable ICD-10-CM diagnosis code for chronic total occlusion of artery of the extremities. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 246 codes in category I70 (Atherosclerosis). The Alphabetic Index lists it under 2 entries. Its coding notes include a Code first instruction, a Use additional code instruction and 19 Excludes2 entries.
Code first
If the underlying condition listed here is present and known, sequence it first.
Use additional code
Add the listed code as a secondary code, if known.
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
- disorders of pyrophosphate metabolism (E83.82-)
Also from chapter/block level (10 notes)
- 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.-)
Care settings
How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.
Hospice: not accepted as primary
Not accepted as the principal diagnosis on a hospice claim (bill types 081x and 082x). The Integrated OCE returns an edit for this code.
Reason: Supplementary or additional code, not allowed as principal diagnosis.
Hospital CC
Counts as a complication or comorbidity (CC) when reported as a secondary diagnosis on an inpatient claim. It does not count when the principal diagnosis is one of the 35 codes in its exclusion list. Some MS-DRGs also ignore a CC or MCC that defines the DRG.
Source: CMS MS-DRG Definitions Manual v44, effective October 1, 2026, Appendix CIncludes
Further defines or gives examples of the content of the category.
- arteriolosclerosis
- arterial degeneration
- arteriosclerosis
- arteriosclerotic vascular disease
- arteriovascular degeneration
- atheroma
- endarteritis deformans or obliterans
- senile arteritis
- senile endarteritis
- vascular degeneration
Inclusion terms
Conditions classified to this code.
- Complete occlusion of artery of the extremities
- Total occlusion of artery of the extremities
Alphabetic Index terms
Terms the official Alphabetic Index lists for this code. 2 entries