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ICD-10-CM 2027 diagnosis code

I70.232Atherosclerosis of native arteries of right leg with ulceration of calf

✓ Billable / specificAdult · age 15–124

I70.232 is a valid, billable ICD-10-CM code for atherosclerosis of native arteries of right leg with ulceration of calf. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Athscl native arteries of right leg w ulceration of calf

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About I70.232

I70.232 is the ICD-10-CM diagnosis code for atherosclerosis of native arteries of right leg with ulceration of calf. It belongs to category I70 (atherosclerosis), block I70-I79 (diseases of arteries, arterioles and capillaries) and chapter 9 (diseases of the circulatory system). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within I70.23 (atherosclerosis of native arteries of right leg with ulceration), I70.232 is specifically for atherosclerosis of native arteries of right leg with ulceration of calf. Related codes cover of thigh (I70.231), of ankle (I70.233), of heel and midfoot (I70.234), of other part of foot (I70.235), of other part of lower leg (I70.238) and of unspecified site (I70.239).

Use an additional code to identify: exposure to environmental tobacco smoke (Z77.22), history of tobacco dependence (Z87.891), occupational exposure to environmental tobacco smoke (Z57.31), tobacco dependence (F17.-) and tobacco use (Z72.0).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 299 (Peripheral Vascular Disorders with MCC, relative weight 1.5842), DRG 300 (Peripheral Vascular Disorders with CC, relative weight 1.0464) and DRG 301 (Peripheral Vascular Disorders without CC/MCC, relative weight 0.7133), in MDC 05 (Diseases and Disorders of the Circulatory System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

The Medicare Code Editor expects this diagnosis only for patients age 15 through 124.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 440.23 (atherosclerosis of native arteries of the extremities with ulceration) and 707.12 (ulcer of calf).

Notes that apply from higher levels

Instructions written at a parent level also apply to I70.232.

› From I70.23 Atherosclerosis of native arteries of right leg with ulceration
Includes
  • any condition classifiable to I70.211 and I70.221
  • chronic limb-threatening ischemia of native arteries of right leg with ulceration
  • critical limb ischemia of native arteries of right leg with ulceration
Use additional code
  • code to identify severity of ulcer (L97.-)
› From I70.2 Atherosclerosis of native arteries of the extremities
Excludes2
  • atherosclerosis of bypass graft of extremities (I70.30-I70.79)
Use additional code
  • code, if applicable, to identify chronic total occlusion of artery of extremity (I70.92)
› From I70 Atherosclerosis
Includes
  • arteriolosclerosis
  • arterial degeneration
  • arteriosclerosis
  • arteriosclerotic vascular disease
  • arteriovascular degeneration
  • atheroma
  • endarteritis deformans or obliterans
  • senile arteritis
  • senile endarteritis
  • vascular degeneration
Excludes2
  • arteriosclerotic cardiovascular disease (I25.1-)
  • arteriosclerotic heart disease (I25.1-)
  • atheroembolism (I75.-)
  • cerebral atherosclerosis (I67.2)
  • coronary atherosclerosis (I25.1-)
  • mesenteric atherosclerosis (K55.1)
  • precerebral atherosclerosis (I67.2)
  • primary pulmonary atherosclerosis (I27.0)
Use additional code
  • code to identify:
  • exposure to environmental tobacco smoke (Z77.22)
  • history of tobacco dependence (Z87.891)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)

Broader instructions also apply from Chapter 9: Diseases of the circulatory system.

Alphabetic index entries

2 entries

Terms in the official ICD-10-CM index that lead to I70.232.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

ICD-9-CM equivalent

Converter →
  • 440.23Atherosclerosis of native arteries of the extremities with ulcerationapproximate, combination
  • 707.12Ulcer of calfapproximate, combination

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about I70.232

Is I70.232 billable?

Yes. I70.232 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can I70.232 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict I70.232 as a principal diagnosis.

Is I70.232 a CC or MCC?

No. I70.232 is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does I70.232 group to?

I70.232 is used in the MS-DRG v44.0 logic for MS-DRG 299 (Peripheral Vascular Disorders with MCC), MS-DRG 300 (Peripheral Vascular Disorders with CC) and MS-DRG 301 (Peripheral Vascular Disorders without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for I70.232?

The CMS General Equivalence Mappings map I70.232 to ICD-9-CM 440.23 and 707.12.