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I75.013 ICD-10-CM Code: Atheroembolism of bilateral upper extremities

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives
2 inclusion terms
Risk adjustment
CMS-HCC V28: 1 category · CMS-HCC V22 category 107

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43, Appendix B.

  • MS-DRG 299 — PERIPHERAL VASCULAR DISORDERS WITH MCC (MDC 05)
  • MS-DRG 300 — PERIPHERAL VASCULAR DISORDERS WITH CC (MDC 05)
  • MS-DRG 301 — PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC (MDC 05)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Risk Adjustment (CMS-HCC)

Payment categories this diagnosis maps to under CMS-HCC V28, payment year 2026.

  • HCC 264 — Vascular Disease with Complications

Other models: CMS-HCC V22 HCC 107

Risk scores depend on the enrollee's full accepted diagnosis set and segment; a category mapping alone does not determine payment.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for I75.013 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025

Notes without a marker are published on I75.013 itself; “inherited from” names the category or block whose note applies here.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • atherothrombotic microembolism
  • cholesterol embolism

Source: inherited from I75

Coder workflow for I75.013

MedCoder structured workflow — derived from this code’s own official record

Before you code I75.013

  1. Laterality is coded in this family. Confirm the side documented — right, left, or bilateral — and select the matching code (this page’s code: bilateral). The unspecified-side code applies only when the record states no side. Laterality is assigned from the documented side; where a bilateral code exists and both sides are documented, it is used instead of two unilateral codes (Guidelines I.B.13).

    See the relationships section · Guide: Laterality coding →

Choose the right path

  1. Is the side documented?
    Yes → Select the code for the documented side (or the bilateral code when both sides are documented and one exists).
    No → Use the unspecified-side code only when the record states no side; a query is the alternative.

Consider I75.013. Then confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Laterality
Right, left or bilateral as documented; unspecified only when the record states no side (Guidelines I.B.13).

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: The record documents the condition on one side only.

Coding question: Which code in this family applies?

Path: Select the sibling code for the documented side.

Reason: Laterality is assigned from the documented side; the unspecified-side code is for records that state no side (Guidelines I.B.13).

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Code Overview

Atheroembolism of bilateral upper extremities is a billable ICD-10-CM diagnosis code (I75.013).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Verify Before Coding

  • CC as a secondary diagnosis (FY2026). Can raise the stay's MS-DRG severity tier.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name I75.013 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 3 Excludes2 notes: I25.1 — Atherosclerotic heart disease of native coronary artery (via I75.-), I70 — Atherosclerosis (via I75.-), I74 — Arterial embolism and thrombosis (via I75.-).

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

FY2026 MS-DRG: CC — Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 67 clinically related codes on its CMS exclusion list.

Named in the grouper logic of 3 MS-DRGs: DRG 299 (MDC 05), DRG 300 (MDC 05), DRG 301 (MDC 05).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):CIR030 — Aortic and peripheral arterial embolism or thrombosis (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical process (MS-DRG)

Acts as CC — raises the severity of other admissions. CMS groups these diagnoses into one MS-DRG principal-diagnosis exclusion process — a CC/MCC on this list never raises severity when the principal diagnosis is also on it.

E13.622 — Other specified diabetes mellitus with other skin ulcer, E13.628 — Other specified diabetes mellitus with other skin complications, E13.630 — Other specified diabetes mellitus with periodontal disease, E13.638 — Other specified diabetes mellitus with other oral complications, E13.649 — Other specified diabetes mellitus with hypoglycemia without coma, E13.65 — Other specified diabetes mellitus with hyperglycemia, E13.69 — Other specified diabetes mellitus with other specified complication, E13.8 — Other specified diabetes mellitus with unspecified complications, I27.841 — Fontan-associated lymphatic dysfunction, I27.848 — Other Fontan-associated condition, I27.849 — Fontan related circulation, unspecified, I74.8 — Embolism and thrombosis of other arteries, I74.9 — Embolism and thrombosis of unspecified artery, I75.011 — Atheroembolism of right upper extremity, I75.012 — Atheroembolism of left upper extremity, I75.019 — Atheroembolism of unspecified upper extremity, I87.8 — Other specified disorders of veins, I87.9 — Disorder of vein, unspecified, I99.8 — Other disorder of circulatory system, I99.9 — Unspecified disorder of circulatory system, +46 more

Same CMS-HCC risk category (V28)

CMS maps these diagnoses to the same Hierarchical Condition Category (Vascular Disease with Complications) for risk-adjusted payment.

I74.09 — Other arterial embolism and thrombosis of abdominal aorta, I74.10 — Embolism and thrombosis of unspecified parts of aorta, I74.11 — Embolism and thrombosis of thoracic aorta, I74.19 — Embolism and thrombosis of other parts of aorta, I74.2 — Embolism and thrombosis of arteries of the upper extremities, I74.3 — Embolism and thrombosis of arteries of the lower extremities, I74.4 — Embolism and thrombosis of arteries of extremities, unspecified, I74.5 — Embolism and thrombosis of iliac artery, I74.8 — Embolism and thrombosis of other arteries, I74.9 — Embolism and thrombosis of unspecified artery, I75.011 — Atheroembolism of right upper extremity, I75.012 — Atheroembolism of left upper extremity, I75.019 — Atheroembolism of unspecified upper extremity, I75.021 — Atheroembolism of right lower extremity, I75.022 — Atheroembolism of left lower extremity, I75.023 — Atheroembolism of bilateral lower extremities, I75.029 — Atheroembolism of unspecified lower extremity, I75.81 — Atheroembolism of kidney, I75.89 — Atheroembolism of other site, I76 — Septic arterial embolism, +50 more

Related risk categories

These categories interact through CMS's HCC hierarchy — one can suppress the other's risk-adjustment weight when both are present on a claim.

Atherosclerosis of Arteries of the Extremities with Ulceration or Gangrene

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Aortic and peripheral arterial embolism or thrombosis).

I74.09 — Other arterial embolism and thrombosis of abdominal aorta, I74.10 — Embolism and thrombosis of unspecified parts of aorta, I74.11 — Embolism and thrombosis of thoracic aorta, I74.19 — Embolism and thrombosis of other parts of aorta, I74.2 — Embolism and thrombosis of arteries of the upper extremities, I74.3 — Embolism and thrombosis of arteries of the lower extremities, I74.4 — Embolism and thrombosis of arteries of extremities, unspecified, I74.5 — Embolism and thrombosis of iliac artery, I74.8 — Embolism and thrombosis of other arteries, I74.9 — Embolism and thrombosis of unspecified artery, I75.011 — Atheroembolism of right upper extremity, I75.012 — Atheroembolism of left upper extremity, I75.019 — Atheroembolism of unspecified upper extremity, I75.021 — Atheroembolism of right lower extremity, I75.022 — Atheroembolism of left lower extremity, I75.023 — Atheroembolism of bilateral lower extremities, I75.029 — Atheroembolism of unspecified lower extremity, I75.81 — Atheroembolism of kidney, I75.89 — Atheroembolism of other site, I76 — Septic arterial embolism, +1 more

Contextual Map

Every relationship of I75.013 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run I75.013 with these 3 related codes in Claim Check

Hierarchy

Referenced by Excludes2 notes

Clinical classification (CCSR)

Risk adjustment (CMS-HCC)

  • HCC 264 — Vascular Disease with Complications [CMS-HCC]— CMS-HCC V28 · 2026

MS-DRG Grouper

MDC crossing

  • MDC 05 — Diseases and Disorders of the Circulatory System[MDC crossing]: “Diseases and Disorders of the Circulatory System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 17,209 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026

Nearest codes (14)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page
Risk adjustment Official source data
2026 Mid-Year Final ICD-10 Mappings + Model Software (cms.gov/files/zip/2026-midyear-final-icd-10-mappings.zip, 2026-midyear-final-model-software.zip) — CMS-HCC V28, PY2026 mid-year final release Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "I75.013 — Atheroembolism of bilateral upper extremities." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/i75.013-atheroembolism-of-bilateral-upper-extremities

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Atheroembolism of bilateral upper extremities

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to I75.013 in its code family, with their registry titles.

View all codes in the I75 family