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263 HCC

Atherosclerosis of Arteries of the Extremities with Ulceration or Gangrene

CMS Model V28 127 Associated ICD-10 Diagnoses

Relative Risk Score Factors (Coefficients for HCC 263)

Enrollment Model Type Coeff Tag Year Weight Score
CFA HCC263 2026 + 1.432
CFD HCC263 2026 + 1.276
CNA HCC263 2026 + 1.118
CND HCC263 2026 + 1.066
CPA HCC263 2026 + 1.007
CPD HCC263 2026 + 1.056
INS HCC263 2026 + 0.696

Mapped ICD-10-CM Diagnoses (127)

The following diagnoses map directly to HCC 263 under the V28 risk adjustment model:

ICD-10 Code Clinical Diagnosis Description Guideline
A48.0 Gas gangrene Notes ↗
E08.52 Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy with gangrene Notes ↗
E10.52 Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene Notes ↗
E11.52 Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene Notes ↗
E13.52 Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene Notes ↗
I70.231 Atherosclerosis of native arteries of right leg with ulceration of thigh Notes ↗
I70.232 Atherosclerosis of native arteries of right leg with ulceration of calf Notes ↗
I70.233 Atherosclerosis of native arteries of right leg with ulceration of ankle Notes ↗
I70.234 Atherosclerosis of native arteries of right leg with ulceration of heel and midfoot Notes ↗
I70.235 Atherosclerosis of native arteries of right leg with ulceration of other part of foot Notes ↗
I70.238 Atherosclerosis of native arteries of right leg with ulceration of other part of lower leg Notes ↗
I70.239 Atherosclerosis of native arteries of right leg with ulceration of unspecified site Notes ↗
I70.241 Atherosclerosis of native arteries of left leg with ulceration of thigh Notes ↗
I70.242 Atherosclerosis of native arteries of left leg with ulceration of calf Notes ↗
I70.243 Atherosclerosis of native arteries of left leg with ulceration of ankle Notes ↗
I70.244 Atherosclerosis of native arteries of left leg with ulceration of heel and midfoot Notes ↗
I70.245 Atherosclerosis of native arteries of left leg with ulceration of other part of foot Notes ↗
I70.248 Atherosclerosis of native arteries of left leg with ulceration of other part of lower leg Notes ↗
I70.249 Atherosclerosis of native arteries of left leg with ulceration of unspecified site Notes ↗
I70.25 Atherosclerosis of native arteries of other extremities with ulceration Notes ↗
I70.261 Atherosclerosis of native arteries of extremities with gangrene, right leg Notes ↗
I70.262 Atherosclerosis of native arteries of extremities with gangrene, left leg Notes ↗
I70.263 Atherosclerosis of native arteries of extremities with gangrene, bilateral legs Notes ↗
I70.268 Atherosclerosis of native arteries of extremities with gangrene, other extremity Notes ↗
I70.269 Atherosclerosis of native arteries of extremities with gangrene, unspecified extremity Notes ↗
I70.331 Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of thigh Notes ↗
I70.332 Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of calf Notes ↗
I70.333 Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of ankle Notes ↗
I70.334 Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of heel and midfoot Notes ↗
I70.335 Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of other part of foot Notes ↗
I70.338 Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of other part of lower leg Notes ↗
I70.339 Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of unspecified site Notes ↗
I70.341 Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of thigh Notes ↗
I70.342 Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of calf Notes ↗
I70.343 Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of ankle Notes ↗
I70.344 Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of heel and midfoot Notes ↗
I70.345 Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of other part of foot Notes ↗
I70.348 Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of other part of lower leg Notes ↗
I70.349 Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of unspecified site Notes ↗
I70.35 Atherosclerosis of unspecified type of bypass graft(s) of other extremity with ulceration Notes ↗
I70.361 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, right leg Notes ↗
I70.362 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, left leg Notes ↗
I70.363 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, bilateral legs Notes ↗
I70.368 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, other extremity Notes ↗
I70.369 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, unspecified extremity Notes ↗
I70.431 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of thigh Notes ↗
I70.432 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of calf Notes ↗
I70.433 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of ankle Notes ↗
I70.434 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of heel and midfoot Notes ↗
I70.435 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of other part of foot Notes ↗
I70.438 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of other part of lower leg Notes ↗
I70.439 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of unspecified site Notes ↗
I70.441 Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of thigh Notes ↗
I70.442 Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of calf Notes ↗
I70.443 Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of ankle Notes ↗
I70.444 Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of heel and midfoot Notes ↗
I70.445 Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of other part of foot Notes ↗
I70.448 Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of other part of lower leg Notes ↗
I70.449 Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of unspecified site Notes ↗
I70.45 Atherosclerosis of autologous vein bypass graft(s) of other extremity with ulceration Notes ↗
I70.461 Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene, right leg Notes ↗
I70.462 Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene, left leg Notes ↗
I70.463 Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene, bilateral legs Notes ↗
I70.468 Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene, other extremity Notes ↗
I70.469 Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene, unspecified extremity Notes ↗
I70.531 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of thigh Notes ↗
I70.532 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of calf Notes ↗
I70.533 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of ankle Notes ↗
I70.534 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of heel and midfoot Notes ↗
I70.535 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of other part of foot Notes ↗
I70.538 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of other part of lower leg Notes ↗
I70.539 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of unspecified site Notes ↗
I70.541 Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of thigh Notes ↗
I70.542 Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of calf Notes ↗
I70.543 Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of ankle Notes ↗
I70.544 Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of heel and midfoot Notes ↗
I70.545 Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of other part of foot Notes ↗
I70.548 Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of other part of lower leg Notes ↗
I70.549 Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of unspecified site Notes ↗
I70.55 Atherosclerosis of nonautologous biological bypass graft(s) of other extremity with ulceration Notes ↗
I70.561 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, right leg Notes ↗
I70.562 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, left leg Notes ↗
I70.563 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, bilateral legs Notes ↗
I70.568 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, other extremity Notes ↗
I70.569 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, unspecified extremity Notes ↗
I70.631 Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of thigh Notes ↗
I70.632 Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of calf Notes ↗
I70.633 Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of ankle Notes ↗
I70.634 Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of heel and midfoot Notes ↗
I70.635 Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of other part of foot Notes ↗
I70.638 Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of other part of lower leg Notes ↗
I70.639 Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of unspecified site Notes ↗
I70.641 Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of thigh Notes ↗
I70.642 Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of calf Notes ↗
I70.643 Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of ankle Notes ↗
I70.644 Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of heel and midfoot Notes ↗
I70.645 Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of other part of foot Notes ↗
I70.648 Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of other part of lower leg Notes ↗
I70.649 Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of unspecified site Notes ↗
I70.65 Atherosclerosis of nonbiological bypass graft(s) of other extremity with ulceration Notes ↗
I70.661 Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, right leg Notes ↗
I70.662 Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, left leg Notes ↗
I70.663 Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, bilateral legs Notes ↗
I70.668 Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, other extremity Notes ↗
I70.669 Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, unspecified extremity Notes ↗
I70.731 Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of thigh Notes ↗
I70.732 Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of calf Notes ↗
I70.733 Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of ankle Notes ↗
I70.734 Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of heel and midfoot Notes ↗
I70.735 Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of other part of foot Notes ↗
I70.738 Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of other part of lower leg Notes ↗
I70.739 Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of unspecified site Notes ↗
I70.741 Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of thigh Notes ↗
I70.742 Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of calf Notes ↗
I70.743 Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of ankle Notes ↗
I70.744 Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of heel and midfoot Notes ↗
I70.745 Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of other part of foot Notes ↗
I70.748 Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of other part of lower leg Notes ↗
I70.749 Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of unspecified site Notes ↗
I70.75 Atherosclerosis of other type of bypass graft(s) of other extremity with ulceration Notes ↗
I70.761 Atherosclerosis of other type of bypass graft(s) of the extremities with gangrene, right leg Notes ↗
I70.762 Atherosclerosis of other type of bypass graft(s) of the extremities with gangrene, left leg Notes ↗
I70.763 Atherosclerosis of other type of bypass graft(s) of the extremities with gangrene, bilateral legs Notes ↗
I70.768 Atherosclerosis of other type of bypass graft(s) of the extremities with gangrene, other extremity Notes ↗
I70.769 Atherosclerosis of other type of bypass graft(s) of the extremities with gangrene, unspecified extremity Notes ↗
I73.01 Raynaud's syndrome with gangrene Notes ↗
I96 Gangrene, not elsewhere classified Notes ↗
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