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ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 I77.82

Billable / Specific HCC v28: 40

Antineutrophilic cytoplasmic antibody [ANCA] vasculitis

I77
Block
2
Synonyms
179
LCDs
18
Payer Policies
0
Linked CPTs

About ICD-10-CM I77.82

ICD-10-CM code I77.82 represents Antineutrophilic cytoplasmic antibody [ANCA] vasculitis. This is a billable/specific code in the Circulatory System chapter (block I77). The 2026 edition of ICD-10-CM I77.82 became effective on October 1, 2025.

Coding Tips for I77.82

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

HCC capture: document with MEAT each year

I77.82 is a CMS-HCC v28 risk-adjustment code (category 40). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under I77.82. Per CMS ICD-10-CM Tabular 2026.

  • ANCA associated vasculitis
  • ANCA positive vasculitis

Type 2 Excludes

Not included here, the excluded code is not part of I77.82, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.

  • eosinophilic granulomatosis with polyangiitis (M30.1)
  • granulomatosis with polyangiitis (M31.3-)
  • microscopic polyangiitis (M31.7)

Medicare Advantage HCC Impact

CMS-HCC v28 (current)
Category 40
ESRD-HCC
Category 40
RxHCC (Part D)
Category 40

Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.

Medicare LCD Coverage for I77.82

Local Coverage Determinations (LCDs) from CMS MACs that list I77.82 as a covered diagnosis.

179 LCDs

Showing top 10 of 179 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Non-Invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities
Article ID: 60318, Effective: , 409 covered, 1 non-covered
CPT 93926 →
CMS LCD: Billing and Coding: Non-Invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities
Article ID: 60318, Effective: , 409 covered, 1 non-covered
CPT 93930 →
CMS LCD: Billing and Coding: Non-Invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities
Article ID: 60318, Effective: , 409 covered, 1 non-covered
CPT 93925 →
CMS LCD: Billing and Coding: Non-Invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities
Article ID: 60318, Effective: , 409 covered, 1 non-covered
CPT 93931 →
CMS LCD: Billing and Coding: Magnetic Resonance Angiography
Article ID: 56775, Effective: 2025-10-01 00:00:00, 1311 covered, 0 non-covered
CPT C8918 →
CMS LCD: Billing and Coding: Magnetic Resonance Angiography
Article ID: 56775, Effective: 2025-10-01 00:00:00, 1311 covered, 0 non-covered
CPT C8936 →
CMS LCD: Billing and Coding: Magnetic Resonance Angiography
Article ID: 56775, Effective: 2025-10-01 00:00:00, 1311 covered, 0 non-covered
CPT C8910 →
CMS LCD: Billing and Coding: Magnetic Resonance Angiography
Article ID: 56775, Effective: 2025-10-01 00:00:00, 1311 covered, 0 non-covered
CPT 70548 →
CMS LCD: Billing and Coding: Magnetic Resonance Angiography
Article ID: 56775, Effective: 2025-10-01 00:00:00, 1311 covered, 0 non-covered
CPT C8913 →
CMS LCD: Billing and Coding: Magnetic Resonance Angiography
Article ID: 56775, Effective: 2025-10-01 00:00:00, 1311 covered, 0 non-covered
CPT C8912 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing I77.82.

18 policies

2 Cigna

Transthoracic Echocardiography in Adults - (0510)
Policy ID: MM_0510
Transthoracic Echocardiography in Children - (0523)
Policy ID: MM_0523

5 Medicare

Billing and Coding: Rituximab
Policy ID: ART-56380
Billing and Coding: Non-Invasive Vascular Studies
Policy ID: ART-56697
Billing and Coding: Non-Invasive Vascular Studies
Policy ID: ART-56758
Billing and Coding: Magnetic Resonance Angiography
Policy ID: ART-56775
Billing and Coding: Transthoracic Echocardiography (TTE)
Policy ID: ART-56781

1 Aetna

Rituximab
Policy ID: CPB-0314

CPT Codes Commonly Billed with I77.82

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for I77.82

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Codes Adjacent To I77.82

Other codes in section I70-I79 (Diseases of arteries, arterioles and capillaries).

I70 Atherosclerosis (non-billable) I70.0 Atherosclerosis of aorta I70.1 Atherosclerosis of renal artery I70.2 Atherosclerosis of native arteries of the extremities (non-billable) I70.20 Unspecified atherosclerosis of native arteries of extremities (non-billable) I70.201 Unspecified atherosclerosis of native arteries of extremities, right leg I70.202 Unspecified atherosclerosis of native arteries of extremities, left leg I70.203 Unspecified atherosclerosis of native arteries of extremities, bilateral legs I70.208 Unspecified atherosclerosis of native arteries of extremities, other extremity I70.209 Unspecified atherosclerosis of native arteries of extremities, unspecified extremity I70.21 Atherosclerosis of native arteries of extremities with intermittent claudication (non-billable) I70.211 Atherosclerosis of native arteries of extremities with intermittent claudication, right leg I70.212 Atherosclerosis of native arteries of extremities with intermittent claudication, left leg I70.213 Atherosclerosis of native arteries of extremities with intermittent claudication, bilateral legs I70.218 Atherosclerosis of native arteries of extremities with intermittent claudication, other extremity I70.219 Atherosclerosis of native arteries of extremities with intermittent claudication, unspecified extremity I70.22 Atherosclerosis of native arteries of extremities with rest pain (non-billable) I70.221 Atherosclerosis of native arteries of extremities with rest pain, right leg I70.222 Atherosclerosis of native arteries of extremities with rest pain, left leg I70.223 Atherosclerosis of native arteries of extremities with rest pain, bilateral legs

ICD-10 I77.82, Billing FAQ

Is ICD-10 code I77.82 billable? +

Yes, I77.82 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to I77.82? +

ICD-10 I77.82 includes: ANCA associated vasculitis; ANCA positive vasculitis.

What codes are Type 2 Excludes for I77.82? +

Type 2 Excludes (may be coded together when both conditions exist): eosinophilic granulomatosis with polyangiitis (M30.1); granulomatosis with polyangiitis (M31.3-); microscopic polyangiitis (M31.7)

Does I77.82 affect Medicare Advantage HCC risk adjustment? +

Yes. I77.82 maps to CMS-HCC v28 category 40. Capture this diagnosis annually for accurate Medicare Advantage risk score.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on July 16, 2026.

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