I77.7 ICD-10-CM Code: Other arterial dissection
Compare with another code for I77.7Check this code on a claim
Billing Status: NO. This is a non-billable ICD-10-CM code: report a more specific billable code beneath it.
Coding at a Glance
- Official instructions
- 5 Excludes2
Not billable · FY2027A non-billable heading in the tabular list: report a more specific code beneath it.
What you need to know
Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too, and is marked with where it comes from.
Where it sits Source: CMS/NCHS
Under:Chapter 9: Diseases of the Circulatory SystemI70-I79 Diseases of arteries, arterioles and capillariesI77 Other disorders of arteries and arterioles
Codes under I77.7 (9)
- I77.70Dissection of unspecified arteryBillable
- I77.71Dissection of carotid arteryBillable
- I77.72Dissection of iliac arteryBillable
- I77.73Dissection of renal arteryBillable
- I77.74Dissection of vertebral arteryBillable
- I77.75Dissection of other precerebral arteriesBillable
- I77.76Dissection of artery of upper extremityBillable
- I77.77Dissection of artery of lower extremityBillable
- I77.79Dissection of other specified arteryBillable
Most relevant related codes MedCoder-derived
Read off the official notes above and this code’s own position in the tabular list. Which to report is a documentation question; Compare shows the two side by side.
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for I77.7 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026
Trace:FY2027 changesChange historyRelease, file and checksum
Notes without a marker are published on I77.7 itself; “inherited from” names the category or block whose note applies here.
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- dissection of aorta (I71.0-) Compare I77.7 vs I71.0 →
- dissection of coronary artery (I25.42) Compare I77.7 vs I25.42 →
- collagen (vascular) diseases (M30-M36) inherited from I77Compare I77.7 vs M30 →
- hypersensitivity angiitis (M31.0) inherited from I77Compare I77.7 vs M31.0 →
- pulmonary artery (I28.-) inherited from I77Compare I77.7 vs I28 →
Coder workflow for I77.7
MedCoder structured workflow — derived from this code’s own official record
Before you code I77.7
- I77.7 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).
ReviewI77.70, I77.71, I77.72, I77.73, I77.74, I77.75, I77.76, I77.77, I77.79
See the relationships section · Guide: How to choose an ICD-10-CM code →
Choose the right path
- Does the documentation support one of the more specific codes beneath I77.7?
Yes → Select that code and continue the checks below on its own page.
No → I77.7 cannot be reported as written. Where the codes beneath it include an unspecified code, that code applies when the record goes no further; otherwise query for the missing detail.ReviewI77.70, I77.71, I77.72, I77.73, I77.74, I77.75, I77.76, I77.77, I77.79
Report the code beneath I77.7 that the documentation supports, not I77.7 itself. Then confirm that code is valid for the date of service on its own page.
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).
- Any detail beyond this code’s title
- What the record states that a more specific code would capture — or its absence, which itself supports the unspecified code.
Official instructions as workflow
Excludes2 — not part of I77.7(5 notes)
Coding workflow: The conditions named in this note are not included in I77.7. When the record documents both, both may be reported; the note is a boundary, not a prohibition.
CompareI71.0, I25.42, M31.0, I28
See the official tabular notes · Guidelines I.A.12.b
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.
Coding context
Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.
Code Overview
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
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Contextual Map
Every relationship of I77.7 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 I77.7 with these 2 related codes in Claim Check
Hierarchy
- I00-I99 — Chapter 9: Diseases of the Circulatory System (I00-I99) (I00-I99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- I70-I79 — Diseases of arteries, arterioles and capillaries[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
Excludes2
- I25.42 — Coronary artery dissection[Excludes2]: “dissection of coronary artery (I25.42)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- I71.0 — Dissection of aorta[Excludes2]: “dissection of aorta (I71.0-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
Nearest codes (26)
- I77 — Other disorders of arteries and arterioles[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- I77.0 — Arteriovenous fistula, acquired[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- I77.1 — Stricture of artery[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- I77.2 — Rupture of artery[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- I77.3 — Arterial fibromuscular dysplasia[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- I77.4 — Celiac artery compression syndrome[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- I77.5 — Necrosis of artery[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- I77.6 — Arteritis, unspecified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- and 18 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Reference
Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.
Common coding questions
MedCoder editorial
Can I77.7 be billed directly?
No. I77.7 (Other arterial dissection) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
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 FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v44.0 (October 2026) 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-derived 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 editorial 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.
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources
Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules
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. "I77.7 — Other arterial dissection." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/i77.7-other-arterial-dissection
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionOther arterial dissection
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, 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 I77.7 in its code family, with their registry titles.
- I77.2 — Rupture of artery
- I77.3 — Arterial fibromuscular dysplasia
- I77.4 — Celiac artery compression syndrome
- I77.5 — Necrosis of artery
- I77.6 — Arteritis, unspecified
- I77.70 — Dissection of unspecified artery
- I77.71 — Dissection of carotid artery
- I77.72 — Dissection of iliac artery
- I77.73 — Dissection of renal artery
- I77.74 — Dissection of vertebral artery