I70.91: Generalized atherosclerosis
I70.91, generalized atherosclerosis, is listed as a covered diagnosis in 10 Medicare billing and coding articles that apply to 41 HCPCS Level II codes, including G0127 (Trimming of dystrophic nails, any number), J0153 (Injection, adenosine, 1 mg (not to be used to report any…), J1250 (Injection, dobutamine hydrochloride, per 250 mg). The articles come from 6 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 I70.91 as a covered diagnosis
| Code | Description | Medicare coverage | DMEPOS fee 2026 (state range) | Articles listing it |
|---|---|---|---|---|
| G0127 | Trimming of dystrophic nails, any number | Special coverage instructions apply | — | 6 |
| J0153 | Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) | Special coverage instructions apply | — | 2 |
| J1250 | Injection, dobutamine hydrochloride, per 250 mg | Special coverage instructions apply | — | 2 |
| J1245 | Injection, dipyridamole, per 10 mg | Special coverage instructions apply | — | 2 |
| C9765 | Revascularization, 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 performed | Special coverage instructions apply | — | 1 |
| C9764 | Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed | Special coverage instructions apply | — | 1 |
| C9766 | Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(s), when performed | Special coverage instructions apply | — | 1 |
| C9767 | Revascularization, 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 performed | Special coverage instructions apply | — | 1 |
| C9774 | Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed | Special coverage instructions apply | — | 1 |
| C9772 | Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed | Special coverage instructions apply | — | 1 |
| C9773 | Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed | Special coverage instructions apply | — | 1 |
| C9775 | Revascularization, 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 performed | Special coverage instructions apply | — | 1 |
| J3490 | Unclassified drugs | Special coverage instructions apply | — | 1 |
| J0461 | Injection, atropine sulfate, 0.01 mg | Special coverage instructions apply | — | 1 |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | Carrier judgment | — | 1 |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | Carrier judgment | — | 1 |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | Carrier judgment | — | 1 |
| J0280 | Injection, aminophyllin, up to 250 mg | Special coverage instructions apply | — | 1 |
| A9505 | Thallium tl-201 thallous chloride, diagnostic, per millicurie | Carrier judgment | — | 1 |
| A9526 | Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries | Carrier judgment | — | 1 |
| A4641 | Radiopharmaceutical, diagnostic, not otherwise classified | Carrier judgment | — | 1 |
| A9501 | Technetium tc-99m teboroxime, diagnostic, per study dose | Carrier judgment | — | 1 |
| A9611 | Flurpiridaz f 18, diagnostic, 1 millicurie | Carrier judgment | — | 1 |
| C8900 | Magnetic resonance angiography with contrast, abdomen | Special coverage instructions apply | — | 1 |
| C8901 | Magnetic resonance angiography without contrast, abdomen | Special coverage instructions apply | — | 1 |
16 more codes are listed. See every code with payment by region in Caduvo.
Medicare policy articles listing I70.91
- A60247: Billing and Coding: Endovascular Management for Peripheral Arterial Disease of the Upper and Lower Extremities (Palmetto GBA (MAC - Part A, MAC - Part B); 8 Level II codes). LCD with the same title: L40228
- A57759: Billing and Coding: Routine Foot Care and Debridement of Nails (Wellpoint Federal (MAC - Part A, MAC - Part B); 1 Level II codes). LCD with the same title: L33636, L34246
- A57183: Billing and Coding: Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress Echocardiography (Noridian Healthcare Solutions, LLC (MAC - Part A, MAC - Part B); 4 Level II codes). LCD with the same title: L34324
- A56476: Billing and Coding: Cardiac Radionuclide Imaging (Palmetto GBA (MAC - Part A, MAC - Part B); 13 Level II codes). LCD with the same title: L33457
- A57954: Billing and Coding: Routine Foot Care (Noridian Healthcare Solutions, LLC (MAC - Part A, MAC - Part B); 1 Level II codes). LCD with the same title: L33941, L35138, L37643
- A57193: Billing and Coding: Routine Foot Care and Debridement of Nails (CGS Administrators, LLC (MAC - Part A, MAC - Part B); 1 Level II codes). LCD with the same title: L33636, L34246
- A52996: Billing and Coding: Routine Foot Care (Novitas Solutions, Inc. (MAC - Part A, MAC - Part B); 1 Level II codes). LCD with the same title: L33941, L35138, L37643
- A56232: Billing and Coding: Foot Care (WPS Insurance Corporation (MAC - Part A, MAC - Part B); 1 Level II codes)
- A56680: Billing and Coding: Routine Foot Care (Palmetto GBA (MAC - Part A, MAC - Part B); 1 Level II codes). LCD with the same title: L33941, L35138, L37643
- A56775: Billing and Coding: Magnetic Resonance Angiography (Palmetto GBA (MAC - Part A, MAC - Part B); 18 Level II codes). LCD with the same title: L34424
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)
- I70.90 — Unspecified atherosclerosis
- I70.92 — Chronic total occlusion of artery of the extremities
- I70.0 — Atherosclerosis of aorta
- I70.1 — Atherosclerosis of renal artery
- I70.201 — Unspecified atherosclerosis of native arteries of extremities, right…
- I70.202 — Unspecified atherosclerosis of native arteries of extremities, left…
- I70.203 — Unspecified atherosclerosis of native arteries of extremities…
- I70.208 — Unspecified atherosclerosis of native arteries of extremities, other…
- I70.209 — Unspecified atherosclerosis of native arteries of extremities…
- I70.211 — Atherosclerosis of native arteries of extremities with intermittent…
- I70.212 — Atherosclerosis of native arteries of extremities with intermittent…
- I70.213 — Atherosclerosis of native arteries of extremities with intermittent…
- I70.218 — Atherosclerosis of native arteries of extremities with intermittent…
- I70.219 — Atherosclerosis of native arteries of extremities with intermittent…
- I70.221 — Atherosclerosis of native arteries of extremities with rest pain…
- I70.222 — Atherosclerosis of native arteries of extremities with rest pain…
- I70.223 — Atherosclerosis of native arteries of extremities with rest pain…
- I70.228 — Atherosclerosis of native arteries of extremities with rest pain…
- I70.229 — Atherosclerosis of native arteries of extremities with rest pain…
- I70.231 — Atherosclerosis of native arteries of right leg with ulceration of…
- I70.232 — Atherosclerosis of native arteries of right leg with ulceration of…
- I70.233 — Atherosclerosis of native arteries of right leg with ulceration of…
- I70.234 — Atherosclerosis of native arteries of right leg with ulceration of…
- I70.235 — Atherosclerosis of native arteries of right leg with ulceration of…
- I70.238 — Atherosclerosis of native arteries of right leg with ulceration of…
- I70.239 — Atherosclerosis of native arteries of right leg with ulceration of…
- I70.241 — Atherosclerosis of native arteries of left leg with ulceration of…
- I70.242 — Atherosclerosis of native arteries of left leg with ulceration of calf
- I70.243 — Atherosclerosis of native arteries of left leg with ulceration of…
- I70.244 — Atherosclerosis of native arteries of left leg with ulceration of…
Frequently asked questions
Does Medicare cover I70.91 (Generalized atherosclerosis)?
Medicare covers items and services, not diagnoses. 10 Medicare billing and coding articles list I70.91 as a covered diagnosis for 41 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 I70.91?
The Level II codes from the policies most specific to this diagnosis are G0127 (Trimming of dystrophic nails, any number, 6 articles); J0153 (Injection, adenosine, 1 mg (not to be used to report any…, 2 articles); J1250 (Injection, dobutamine hydrochloride, per 250 mg, 2 articles); J1245 (Injection, dipyridamole, per 10 mg, 2 articles); C9765 (Revascularization, endovascular, open or percutaneous…, 1 article). Code choice depends on the item supplied; check each code's descriptor.
Which Medicare policy articles list I70.91?
A60247 (Billing and Coding: Endovascular Management for Peripheral Arterial Disease of the Upper and Lower Extremities); A57759 (Billing and Coding: Routine Foot Care and Debridement of Nails); A57183 (Billing and Coding: Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress Echocardiography), and 7 more articles.
What is ICD-10-CM code I70.91?
I70.91 is the ICD-10-CM code for generalized atherosclerosis, in category I70 (Atherosclerosis), chapter 9: Diseases of the circulatory system.
Next steps
- Run a reimbursement report for a device billed under G0127
- Watch G0127 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for G0127
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