I77.4
BillableCeliac artery compression syndrome
HCC Category Mapping
V24HCC 108 — Vascular Disease
0.297ESRDHCC 108 — Vascular Disease
0.000What This Code Means
A condition where the celiac artery (which supplies the stomach and upper abdominal organs) is compressed, usually by a ligament, restricting blood flow and causing abdominal pain.
Coding Tips
- •Document whether the condition is symptomatic or asymptomatic
- •Often requires imaging confirmation such as CT or angiography
Clinical Significance
Celiac artery compression syndrome (median arcuate ligament syndrome) represents a significant vascular condition where external compression restricts blood flow to upper abdominal organs, leading to chronic postprandial pain and potential malnutrition. For risk adjustment, this condition reflects ongoing vascular disease burden requiring monitoring and possible surgical intervention. It contributes to the patient's overall complexity and resource utilization.
Documentation Requirements
- ✓Specific documentation of celiac artery compression or median arcuate ligament syndrome
- ✓Imaging confirmation (CT angiography, mesenteric duplex ultrasound, or conventional angiography) showing compression
- ✓Symptomatic status including postprandial abdominal pain, nausea, or weight loss
- ✓Current treatment plan including dietary modifications, surgical referral, or ongoing monitoring
- ✓Provider assessment and clinical evaluation during the encounter
Commonly Confused Codes
I77.1 — Stricture of artery: use for intrinsic narrowing rather than external compressionK55.1 — Chronic vascular disorders of intestine: use when ischemia is established rather than compression syndromeI77.89 — Other specified disorders of arteries and arterioles: less specific; use I77.4 when celiac compression is confirmedI71.4 — Abdominal aortic aneurysm without rupture: involves aortic dilation, not compression
Code Hierarchy
└I77Other disorders of arteries and arterioles└I77.4Celiac artery compression syndrome
└I77.4Celiac artery compression syndrome