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ICD-10-CM 2027 diagnosis code

I77.4Celiac artery compression syndrome

✓ Billable / specificCC — complication/comorbidity

I77.4 is a valid, billable ICD-10-CM code for celiac artery compression syndrome. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Looking up by condition? See ICD-10 code for Marable's syndrome.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About I77.4

I77.4 is the ICD-10-CM diagnosis code for celiac artery compression syndrome. It belongs to category I77 (other disorders of arteries and arterioles), block I70-I79 (diseases of arteries, arterioles and capillaries) and chapter 9 (diseases of the circulatory system). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within I77 (other disorders of arteries and arterioles), I77.4 is specifically for celiac artery compression syndrome. Related codes cover arteriovenous fistula, acquired (I77.0), stricture of artery (I77.1), rupture of artery (I77.2), arterial fibromuscular dysplasia (I77.3), necrosis of artery (I77.5), arteritis, unspecified (I77.6), other arterial dissection (I77.7), other specified disorders of arteries and arterioles (I77.8) and 1 more.

As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 391 (Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders with MCC, relative weight 1.2392) and DRG 392 (Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC, relative weight 0.7645), in MDC 06 (Diseases and Disorders of the Digestive System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 447.4 (celiac artery compression syndrome).

Notes that apply from higher levels

Instructions written at a parent level also apply to I77.4.

› From I77 Other disorders of arteries and arterioles
Excludes2
  • collagen (vascular) diseases (M30-M36)
  • hypersensitivity angiitis (M31.0)
  • pulmonary artery (I28.-)

Broader instructions also apply from Chapter 9: Diseases of the circulatory system.

Alphabetic index entries

13 entries

Terms in the official ICD-10-CM index that lead to I77.4.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

ICD-9-CM equivalent

Converter →
  • 447.4Celiac artery compression syndromeexact

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about I77.4

Is I77.4 billable?

Yes. I77.4 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can I77.4 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict I77.4 as a principal diagnosis.

Is I77.4 a CC or MCC?

I77.4 is a CC (complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.

What DRG does I77.4 group to?

I77.4 is used in the MS-DRG v44.0 logic for MS-DRG 391 (Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders with MCC) and MS-DRG 392 (Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for I77.4?

The CMS General Equivalence Mappings map I77.4 to ICD-9-CM 447.4.