ICD-10-CM 2027 diagnosis code
I77.4Celiac artery compression syndrome
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.
Broader instructions also apply from Chapter 9: Diseases of the circulatory system.
Alphabetic index entries
13 entriesTerms in the official ICD-10-CM index that lead to I77.4.
- Celiac › artery compression syndrome
- Compression › artery › celiac, syndrome
- Compression › celiac (artery) (axis)
- Marable's syndrome (celiac artery compression)
- Median › arcuate ligament syndrome
- Stenosis, stenotic (cicatricial) › artery NEC › celiac (compression)
- Stricture › artery › celiac (compression)
- Syndrome › arcuate ligament
- Syndrome › celiac › artery compression
- Syndrome › celiac › axis
- Syndrome › compression › celiac artery
- Syndrome › Marable's
- Syndrome › median arcuate ligament
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.
MDC 06 · Diseases and Disorders of the Digestive System
ICD-9-CM equivalent
Converter →- 447.4Celiac artery compression syndromeexact
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 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.