I75.013: Atheroembolism of bilateral upper extremities
I75.013, atheroembolism of bilateral upper extremities, is listed as a covered diagnosis in 3 Medicare billing and coding articles that apply to 10 HCPCS Level II codes, including G0278 (Iliac and/or femoral artery angiography, non-selective…), G0269 (Placement of occlusive device into either a venous or…), C9765 (Revascularization, endovascular, open or percutaneous…). The articles come from 3 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 I75.013 as a covered diagnosis
| Code | Description | Medicare coverage | DMEPOS fee 2026 (state range) | Articles listing it |
|---|---|---|---|---|
| G0278 | Iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation (list separately in addition to primary procedure) | Carrier judgment | — | 2 |
| G0269 | Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) | 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 |
Medicare policy articles listing I75.013
- 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
- A56500: Billing and Coding: Cardiac Catheterization and Coronary Angiography (CGS Administrators, LLC (MAC - Part A, MAC - Part B); 2 Level II codes). LCD with the same title: L33557, L33959
- A52850: Billing and Coding: Cardiac Catheterization and Coronary Angiography (Wellpoint Federal (MAC - Part A, MAC - Part B); 2 Level II codes). LCD with the same title: L33557, L33959
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 I75 diagnoses (Atheroembolism)
- I75.011 — Atheroembolism of right upper extremity
- I75.012 — Atheroembolism of left upper extremity
- I75.021 — Atheroembolism of right lower extremity
- I75.022 — Atheroembolism of left lower extremity
- I75.023 — Atheroembolism of bilateral lower extremities
- I75.81 — Atheroembolism of kidney
- I75.89 — Atheroembolism of other site
Frequently asked questions
Does Medicare cover I75.013 (Atheroembolism of bilateral upper extremities)?
Medicare covers items and services, not diagnoses. 3 Medicare billing and coding articles list I75.013 as a covered diagnosis for 10 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 I75.013?
The Level II codes from the policies most specific to this diagnosis are G0278 (Iliac and/or femoral artery angiography, non-selective…, 2 articles); G0269 (Placement of occlusive device into either a venous or…, 2 articles); C9765 (Revascularization, endovascular, open or percutaneous…, 1 article); C9764 (Revascularization, endovascular, open or percutaneous…, 1 article); C9766 (Revascularization, endovascular, open or percutaneous…, 1 article). Code choice depends on the item supplied; check each code's descriptor.
Which Medicare policy articles list I75.013?
A60247 (Billing and Coding: Endovascular Management for Peripheral Arterial Disease of the Upper and Lower Extremities); A56500 (Billing and Coding: Cardiac Catheterization and Coronary Angiography); A52850 (Billing and Coding: Cardiac Catheterization and Coronary Angiography).
What is ICD-10-CM code I75.013?
I75.013 is the ICD-10-CM code for atheroembolism of bilateral upper extremities, in category I75 (Atheroembolism), chapter 9: Diseases of the circulatory system.
Next steps
- Run a reimbursement report for a device billed under G0278
- Watch G0278 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for G0278
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