I70.393: Other atherosclerosis of unspecified type of bypass graft(s) of the extremities, bilateral legs

I70.393, other atherosclerosis of unspecified type of bypass graft(s) of the extremities, bilateral legs, is listed as a covered diagnosis in 5 Medicare billing and coding articles that apply to 40 HCPCS Level II codes, including C9765 (Revascularization, endovascular, open or percutaneous…), C9764 (Revascularization, endovascular, open or percutaneous…), C9766 (Revascularization, endovascular, open or percutaneous…). The articles come from 2 Medicare contractors. A listed diagnosis supports medical necessity only; coverage still depends on the LCD's criteria and on documentation in the medical record.

HCPCS Level II codes with I70.393 as a covered diagnosis

CodeDescriptionMedicare coverageDMEPOS fee 2026 (state range)Articles listing it
C9765Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performedSpecial coverage instructions apply—1
C9764Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performedSpecial coverage instructions apply—1
C9766Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(s), when performedSpecial coverage instructions apply—1
C9767Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the same vessel(s), when performedSpecial coverage instructions apply—1
C9774Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performedSpecial coverage instructions apply—1
C9772Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performedSpecial coverage instructions apply—1
C9773Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performedSpecial coverage instructions apply—1
C9775Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the same vessel (s), when performedSpecial coverage instructions apply—1
G0127Trimming of dystrophic nails, any numberSpecial coverage instructions apply—2
J0461Injection, atropine sulfate, 0.01 mgSpecial coverage instructions apply—1
A9500Technetium tc-99m sestamibi, diagnostic, per study doseCarrier judgment—1
J0153Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)Special coverage instructions apply—1
A9502Technetium tc-99m tetrofosmin, diagnostic, per study doseCarrier judgment—1
A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuriesCarrier judgment—1
J1250Injection, dobutamine hydrochloride, per 250 mgSpecial coverage instructions apply—1
J0280Injection, aminophyllin, up to 250 mgSpecial coverage instructions apply—1
J1245Injection, dipyridamole, per 10 mgSpecial coverage instructions apply—1
A9505Thallium tl-201 thallous chloride, diagnostic, per millicurieCarrier judgment—1
A9526Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuriesCarrier judgment—1
A4641Radiopharmaceutical, diagnostic, not otherwise classifiedCarrier judgment—1
A9501Technetium tc-99m teboroxime, diagnostic, per study doseCarrier judgment—1
A9611Flurpiridaz f 18, diagnostic, 1 millicurieCarrier judgment—1
C8900Magnetic resonance angiography with contrast, abdomenSpecial coverage instructions apply—1
C8901Magnetic resonance angiography without contrast, abdomenSpecial coverage instructions apply—1
C8902Magnetic resonance angiography without contrast followed by with contrast, abdomenSpecial coverage instructions apply—1

15 more codes are listed. See every code with payment by region in Caduvo.

Medicare policy articles listing I70.393

A diagnosis listed as covered in a billing and coding article supports medical necessity for the article's codes; it does not guarantee payment. Coverage depends on the LCD's criteria, the contractor's jurisdiction and documentation in the medical record.

Other I70 diagnoses (Atherosclerosis)

Frequently asked questions

Does Medicare cover I70.393 (Other atherosclerosis of unspecified type of bypass…)?

Medicare covers items and services, not diagnoses. 5 Medicare billing and coding articles list I70.393 as a covered diagnosis for 40 HCPCS Level II codes: the diagnosis can support medical necessity for those codes, but payment still depends on the LCD's coverage criteria and the medical record.

Which HCPCS codes can be billed with ICD-10 I70.393?

The Level II codes from the policies most specific to this diagnosis are C9765 (Revascularization, endovascular, open or percutaneous…, 1 article); C9764 (Revascularization, endovascular, open or percutaneous…, 1 article); C9766 (Revascularization, endovascular, open or percutaneous…, 1 article); C9767 (Revascularization, endovascular, open or percutaneous…, 1 article); C9774 (Revascularization, endovascular, open or percutaneous…, 1 article). Code choice depends on the item supplied; check each code's descriptor.

Which Medicare policy articles list I70.393?

A60247 (Billing and Coding: Endovascular Management for Peripheral Arterial Disease of the Upper and Lower Extremities); A56476 (Billing and Coding: Cardiac Radionuclide Imaging); A56232 (Billing and Coding: Foot Care), and 2 more articles.

What is ICD-10-CM code I70.393?

I70.393 is the ICD-10-CM code for other atherosclerosis of unspecified type of bypass graft(s) of the extremities, bilateral legs, in category I70 (Atherosclerosis), chapter 9: Diseases of the circulatory system.

Next steps

Sources: CMS Medicare Coverage Database billing and coding articles (covered ICD-10 code lists and HCPCS links); ICD-10-CM FY2026; CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026 (non-rural state fees). Not billing or legal advice.

Chapter 9: Diseases of the circulatory system · All diagnoses · HCPCS lookup