2026 ICD-10-CM Diagnosis Code I77.0Arteriovenous fistula, acquired

ICD-10-CM CodesI00–I99I70-I79I77

ICD-10-CM I77.0
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

I77.0 is a billable ICD-10-CM diagnosis code for arteriovenous fistula, acquired. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 299 through 301. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified and unspecified circulatory disease.

Code Identity

ICD-10-CM Code
I77.0
Billable Status
Yes — Valid for Submission
Code Describes
Arteriovenous fistula, acquired
Short Description
Arteriovenous fistula, acquired
Same as the full description in the CMS dataset.
Parent Code
Other disorders of arteries and arterioles

Code Classification

ChapterI00–I99Diseases of the circulatory system
SectionI70-I79Diseases of arteries, arterioles and capillaries
CategoryI77Other disorders of arteries and arterioles
This CodeI77.0Arteriovenous fistula, acquired

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Acquired arteriovenous fistula
  • Acquired arteriovenous fistula aneurysm
  • Acquired arteriovenous fistula of liver
  • Acquired arteriovenous malformation
  • Acquired arteriovenous malformation of the skin
  • Acquired caroticocavernous sinus fistula
  • Acquired left carotid cavernous fistula
  • Acquired renal arteriovenous aneurysm
  • Acquired renal arteriovenous fistula
  • Acquired right carotid cavernous fistula
  • Aortic fistula
  • Aortocaval fistula
  • Arteriovenous fistula
  • Arteriovenous fistula aneurysm
  • Arteriovenous fistula hemorrhage
  • Arteriovenous fistula infection
  • Arteriovenous fistula of carotid artery and internal jugular vein
  • Arteriovenous fistula of left upper extremity
  • Arteriovenous fistula of right upper extremity
  • Arteriovenous fistula of splanchnic circulation
  • Arteriovenous fistula stenosis
  • Arteriovenous graft aneurysm
  • Carotid cavernous fistula
  • Cirsoid aneurysm
  • Diffuse arteriovenous fistula
  • Dural arteriovenous fistula
  • Iatrogenic arteriovenous fistula
  • Immature arteriovenous fistula
  • Infection of hemodialysis arteriovenous fistula
  • Mesenteric arteriovenous fistula
  • Mesenteric-portal fistula
  • Surgically constructed arteriovenous fistula
  • Surgically constructed arteriovenous graft
  • Surgically constructed brachiobasilic arteriovenous fistula
  • Surgically constructed brachiocephalic arteriovenous fistula
  • Surgically constructed popliteal to great saphenous arteriovenous fistula
  • Surgically constructed radiocephalic arteriovenous fistula
  • Surgically constructed radiocephalic arteriovenous fistula at anatomical snuff box
  • Surgically constructed ulnar to cephalic arteriovenous fistula
  • Transposed brachiobasilic arteriovenous fistula
  • Transposed popliteal to great saphenous arteriovenous fistula
  • Truncal arteriovenous fistula
  • Vascular graft aneurysm

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Aneurysmal varix
  • Arteriovenous aneurysm, acquired

Type 1 Excludes

  • arteriovenous aneurysm NOS Q27.3
  • presence of arteriovenous shunt fistula for dialysis Z99.2
  • traumatic - see injury of blood vessel by body region

Type 2 Excludes

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Aneurysm(anastomotic) (artery) (cirsoid) (diffuse) (false) (fusiform) (multiple) (saccular)
      • arteriovenous (congenital)
        • acquired
    • Aneurysm(anastomotic) (artery) (cirsoid) (diffuse) (false) (fusiform) (multiple) (saccular)
      • arteriovenous (congenital)
        • specified site NEC
          • acquired
    • Fistula(cutaneous)
      • arteriovenous (acquired) (nonruptured)
    • Varicose
      • aneurysm (ruptured)
    • Varix(lower limb)
      • aneurysmal

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR CIR032
Other specified and unspecified circulatory disease
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Arteriovenous Fistula

    an abnormal direct communication between an artery and a vein without passing through the capillaries. an a-v fistula usually leads to the formation of a dilated sac-like connection, arteriovenous aneurysm. the locations and size of the shunts determine the degree of effects on the cardiovascular functions such as blood pressure and heart rate.
  • Central Nervous System Vascular Malformations

    congenital, inherited, or acquired abnormalities involving arteries; veins; or venous sinuses in the brain; spinal cord; and meninges.
  • Cirsoid Aneurysm

    a rare arteriovenous malformation that affects the head and neck and manifests with nodules or papules due to the presence of tortuous dilated vessels in the subcutaneous tissues, usually of the scalp. it may be congenital or caused by trauma.

Patient EducationClinical

Arteriovenous Malformations

Arteriovenous malformations (AVMs) are defects in your vascular system. Your vascular system is your body's network of blood vessels. It includes your:

The full article covers:

  • What are arteriovenous malformations (AVMs)?
  • What causes arteriovenous malformations (AVMs)?
  • What are the symptoms of arteriovenous malformations (AVMs)?
  • How are arteriovenous malformations (AVMs) diagnosed?
  • What are the treatments for arteriovenous malformations (AVMs)?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert I77.0 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
447.0 Acq arterioven fistula
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About I77.0Overview

Is I77.0 (Other disorders of arteries and arterioles) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report arteriovenous fistula, acquired on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does I77.0 group to?

When arteriovenous fistula, acquired is the principal diagnosis on an inpatient stay, it groups to MS-DRG 299, 300, 301, with relative weights from 0.7197 to 1.6327 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of I77.0?

Under the General Equivalence Mappings, arteriovenous fistula, acquired converts to ICD-9-CM 447.0 (acq arterioven fistula). The mapping is a direct match.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.