2027 ICD-10-CM Diagnosis Code I77.3Arterial fibromuscular dysplasia

ICD-10-CM Codes›I00–I99›I70-I79›I77

ICD-10-CM I77.3
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

I77.3 is a billable ICD-10-CM diagnosis code for arterial fibromuscular dysplasia. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) 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.

I77.3 no longer risk-adjusts for Medicare Advantage: it mapped to HCC 108 under the retired CMS-HCC V24 model through payment year 2025 but maps to no category in the live V28 model. It still risk-adjusts in the PACE (CMS-HCC V22) category 108, ESRD (V21) category 108, and ESRD (V24) category 108 for payment year 2027.

Code Identity

ICD-10-CM Code
I77.3
Billable Status
Yes — Valid for Submission
Code Describes
Arterial fibromuscular dysplasia
Short Description
Arterial fibromuscular dysplasia
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 CodeI77.3Arterial fibromuscular dysplasia

Medicare Risk Adjustment (HCC)Billing

I77.3 no longer risk-adjusts for Medicare Advantage: it maps to no payment category in the live CMS-HCC V28 model, although it still risk-adjusts in the other CMS models shown below.

CMS-HCC V28 (Medicare Advantage Payment Model)
Not mapped
Dropped in V28 see all codes that no longer risk-adjust
Prior Model (CMS-HCC V24)
HCC 108
V24 retired last contributed to a Medicare Advantage risk score in payment year 2025
Other CMS Models
PACE (CMS-HCC V22): HCC 108 · ESRD (V21): HCC 108 · ESRD (V24): HCC 108
ESRD V21 weights: 0.065 dialysis, 0.086–0.271 functioning graft · ESRD V24 weights: 0.073 dialysis, 0.074–0.287 functioning graft
Part D (RxHCC)
Not mapped
I77.3 does not risk-adjust in the RxHCC prescription drug model

Source: CMS Payment Year 2027 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Bilateral fibromuscular dysplasia of renal arteries
  • Bilateral fibromuscular dysplasia of wall of carotid arteries
  • Fibromuscular dysplasia of wall of artery
  • Fibromuscular dysplasia of wall of carotid artery
  • Fibromuscular dysplasia of wall of coronary artery
  • Fibromuscular dysplasia of wall of intracranial artery
  • Fibromuscular dysplasia of wall of left renal artery
  • Fibromuscular dysplasia of wall of renal artery
  • Fibromuscular dysplasia of wall of right renal artery
  • Fibromuscular hyperplasia of left carotid artery
  • Fibromuscular hyperplasia of right carotid artery
  • Renal artery stenosis due to fibromuscular hyperplasia

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to I77.3: its own notes plus those printed at I77 and Chapter 9. A note printed at a category, block or chapter applies to every code under it.

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Fibromuscular hyperplasia (of) carotid artery
  • Fibromuscular hyperplasia (of) renal artery

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From I77 Other disorders of arteries and arterioles applies to 23 codes
  • collagen (vascular) diseases (M30-M36)
  • hypersensitivity angiitis (M31.0)
  • pulmonary artery (I28.-)
From Chapter 9 (I00-I99) Diseases of the circulatory system applies to 1,433 codes
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • systemic connective tissue disorders (M30-M36)
  • transient cerebral ischemic attacks and related syndromes (G45.-)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

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

  • Fibromuscular Dysplasia

    a disorder characterized by fibrous thickening of the arterial wall resulting in narrowing of the arterial lumen. it most often affects the renal artery and less often the carotid artery and abdominal arteries. it can cause hypertension and aneurysm formation.

Convert I77.3 to ICD-9-CMHistory

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

ICD-9-CM
447.3 Renal artery hyperplasia
Approximate The match is approximate rather than exact.
ICD-9-CM
447.8 Arterial disease NEC
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About I77.3Overview

What is the ICD-10 code for arterial fibromuscular dysplasia?

The ICD-10-CM code for arterial fibromuscular dysplasia is I77.3 (sometimes written as I773). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is I77.3 (Other disorders of arteries and arterioles) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report arterial fibromuscular dysplasia on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does I77.3 group to?

When arterial fibromuscular dysplasia is the principal diagnosis on an inpatient stay, it groups to MS-DRG 301, 300, 299, with relative weights from 0.7132 to 1.5840 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of I77.3?

Under the General Equivalence Mappings, arterial fibromuscular dysplasia converts to ICD-9-CM 447.3 (renal artery hyperplasia) and 447.8 (arterial disease NEC). The mapping is approximate, so confirm the match fits the documentation.

Does I77.3 risk-adjust for Medicare Advantage payment?

Not for Medicare Advantage. I77.3 mapped to HCC 108 in the retired CMS-HCC V24 model, which last determined payment in 2025, but it maps to no category in the live V28 model; see all codes that no longer risk-adjust. It still risk-adjusts in the PACE (CMS-HCC V22) category 108 (Vascular Disease), ESRD (V21) category 108 (Vascular Disease), and ESRD (V24) category 108 (Vascular Disease).