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I77.76 ICD-10-CM Code: Dissection of artery of upper extremity

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

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, 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.

Code Overview

Dissection of artery of upper extremity is a billable ICD-10-CM diagnosis code (I77.76).

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

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for I77.76 in the official ICD-10-CM tabular list.

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Indexed Clinical Terms (1)

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

  • Dissection, artery, extremity, upper

Frequently Compared Codes

The official Excludes notes on I77.76 name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

  • FY2017 — 2016-10-01
    Added to the code set
    Dissection of artery of upper extremity
    FY2017 changes

Verify Before Coding

  • MCC 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

MS-DRG Grouper Relationships (FY2026)

MCC — Major 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 10 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):CIR027 — Arterial dissections (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 MCC — 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.

I77.2 — Rupture of artery, I77.3 — Arterial fibromuscular dysplasia, I77.5 — Necrosis of artery, I77.6 — Arteritis, unspecified, I77.82 — Antineutrophilic cytoplasmic antibody [ANCA] vasculitis, I77.89 — Other specified disorders of arteries and arterioles, I77.9 — Disorder of arteries and arterioles, unspecified, M31.8 — Other specified necrotizing vasculopathies, M31.9 — Necrotizing vasculopathy, unspecified

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Arterial dissections).

I25.42 — Coronary artery dissection, I67.0 — Dissection of cerebral arteries, nonruptured, I71.00 — Dissection of unspecified site of aorta, I71.01 — Dissection of thoracic aorta, I71.010 — Dissection of ascending aorta, I71.011 — Dissection of aortic arch, I71.012 — Dissection of descending thoracic aorta, I71.019 — Dissection of thoracic aorta, unspecified, I71.02 — Dissection of abdominal aorta, I71.03 — Dissection of thoracoabdominal aorta, 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, I77.75 — Dissection of other precerebral arteries, I77.77 — Dissection of artery of lower extremity, I77.79 — Dissection of other specified artery

Lab tests where this diagnosis supports Medicare coverage (NCD)

Medicare's National Coverage Determination (NCD) program lists this diagnosis as medical justification for these lab tests.

Lipid Panel

Contextual Map

Every relationship of I77.76 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.

Hierarchy

  • I00-I99 — Chapter 9: Diseases of the Circulatory System (I00-I99) (I00-I99) [Hierarchy]
  • I70-I79 — Diseases of arteries, arterioles and capillaries [Hierarchy]

Clinical classification (CCSR)

  • CIR027 — Arterial dissections [CCSR]

MS-DRG Grouper

  • MCC — Major Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (MCC).”
  • DRG 299 — PERIPHERAL VASCULAR DISORDERS WITH MCC [MS-DRG]: “PERIPHERAL VASCULAR DISORDERS WITH MCC (MDC 05)”
  • DRG 300 — PERIPHERAL VASCULAR DISORDERS WITH CC [MS-DRG]: “PERIPHERAL VASCULAR DISORDERS WITH CC (MDC 05)”
  • DRG 301 — PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC [MS-DRG]: “PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC (MDC 05)”

MDC crossing · procedures (17209)

  • 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.”
  • 00HE0MZ — Insertion of Neurostimulator Lead into Cranial Nerve, Open Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Cranial Nerve, Open Approach — grouped in MDC 05, the procedure side of this code's crossing.” · check together
  • 00HE3MZ — Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Approach — grouped in MDC 05, the procedure side of this code's crossing.” · check together
  • 00HE4MZ — Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Endoscopic Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Endoscopic Approach — grouped in MDC 05, the procedure side of this code's crossing.” · check together
  • 015K0ZZ — Destruction of Head and Neck Sympathetic Nerve, Open Approach [Same-MDC procedure]: “Destruction of Head and Neck Sympathetic Nerve, Open Approach — grouped in MDC 05, the procedure side of this code's crossing.” · check together
  • 015K3ZZ — Destruction of Head and Neck Sympathetic Nerve, Percutaneous Approach [Same-MDC procedure]: “Destruction of Head and Neck Sympathetic Nerve, Percutaneous Approach — grouped in MDC 05, the procedure side of this code's crossing.” · check together
  • and 17204 more

Index entries

  • Dissection, artery, extremity, upper[Index term]

Nearest codes (26)

  • I77 — Other disorders of arteries and arterioles [Sibling]
  • I77.0 — Arteriovenous fistula, acquired [Sibling]
  • I77.1 — Stricture of artery [Sibling]
  • I77.2 — Rupture of artery [Sibling]
  • I77.3 — Arterial fibromuscular dysplasia [Sibling]
  • I77.4 — Celiac artery compression syndrome [Sibling]
  • I77.5 — Necrosis of artery [Sibling]
  • I77.6 — Arteritis, unspecified [Sibling]
  • and 18 more

Change history

  • FY2017 — Added to the code set [Change history]

Nearest Codes in This Family

Official ICD-10-CM classifications closest to I77.76 in its code family, with their registry titles.

  • I77.71 — Dissection of carotid artery
  • I77.72 — Dissection of iliac artery
  • I77.73 — Dissection of renal artery
  • I77.74 — Dissection of vertebral artery
  • I77.75 — Dissection of other precerebral arteries
  • I77.77 — Dissection of artery of lower extremity
  • I77.79 — Dissection of other specified artery
  • I77.8 — Other specified disorders of arteries and arterioles
  • I77.81 — Aortic ectasia
  • I77.810 — Thoracic aortic ectasia

View all codes in the I77 family