I77.74 Dissection of vertebral artery

Billable ICD-10-CM code, FY2026. Acts as a Major Complication or Comorbidity (MCC) as a secondary diagnosis.

Excludes2 (not included here)

• aneurysm of vertebral artery (I72.6)

Applies from I77 Other disorders of arteries and arterioles

Excludes2 (not included here)

• collagen (vascular) diseases (M30-M36)
• hypersensitivity angiitis (M31.0)
• pulmonary artery (I28.-)

Applies from I77.7 Other arterial dissection

Excludes2 (not included here)

• dissection of aorta (I71.0-)
• dissection of coronary artery (I25.42)

Risk adjustment (HCC)

• CMS-HCC V22: HCC 107 — Vascular Disease with Complications
• ESRD V24: HCC 107

MS-DRG index

Defines the logic of DRG(s) 299-301 in MDC 05.

Approximate ICD-9-CM (GEMs)

• 443.24 Dissection of vertebral artery

Code annotations containing back-references to I77.74

Back-references to I77.74

• Type 2 Excludes: I72 Other aneurysm ("vertebral artery dissection (I77.74)")
• Type 2 Excludes: I72.5 Aneurysm of other precerebral arteries ("dissection of vertebral artery (I77.74)")
• Type 2 Excludes: I72.6 Aneurysm of vertebral artery ("dissection of vertebral artery (I77.74)")
• Type 2 Excludes: I77.75 Dissection of other precerebral arteries ("dissection of vertebral artery (I77.74)")

Diagnosis Index entries for I77.74

• Dissection › artery › vertebral

Nearby codes

• I77.7 Other arterial dissection
• 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 (this code)
• I77.75 Dissection of other precerebral arteries
• I77.76 Dissection of artery of upper extremity
• I77.77 Dissection of artery of lower extremity
• I77.79 Dissection of other specified artery
• I77.8 Other specified disorders of arteries and arterioles