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

ICD-10 I78.0

Billable / Specific HCC v28: 108

Hereditary hemorrhagic telangiectasia

I78
Block
1
Synonyms
364
LCDs
15
Payer Policies
1
Linked CPTs

About ICD-10-CM I78.0

ICD-10-CM code I78.0 represents Hereditary hemorrhagic telangiectasia. This is a billable/specific code in the Circulatory System chapter (block I78). The 2026 edition of ICD-10-CM I78.0 became effective on October 1, 2025.

Coding Tips for I78.0

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

HCC capture: document with MEAT each year

I78.0 is a CMS-HCC v28 risk-adjustment code (category 108). 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 I78.0. Per CMS ICD-10-CM Tabular 2026.

  • Rendu-Osler-Weber disease

Medicare Advantage HCC Impact

CMS-HCC v28 (current)
Category 108
ESRD-HCC
Category 108
RxHCC (Part D)
Category 108

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 I78.0

Local Coverage Determinations (LCDs) from CMS MACs that list I78.0 as a covered diagnosis.

364 LCDs

Showing top 10 of 364 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43246 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43243 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43235 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43250 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43236 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43247 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43249 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43254 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43245 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43244 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing I78.0.

15 policies

3 Aetna

Septoplasty and Rhinoplasty - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0005
Fetal Echocardiography and Magnetocardiography
Policy ID: CPB-0106
Prolotherapy and Sclerotherapy
Policy ID: CPB-0207

5 Medicare

Billing and Coding: Bevacizumab and biosimilars
Policy ID: ART-52370
Billing and Coding: Treatment of Chronic Venous Insufficiency of the Lower Extremities
Policy ID: ART-55229
Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
Policy ID: ART-56389
Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
Policy ID: ART-56394
Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
Policy ID: ART-56456

CPT Codes Commonly Billed with I78.0

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

1 linkages
  • 36468 CMS LCD: Billing and Coding: Treatment of Chronic Venous Insufficiency of the Lower Extremities CMS LCD

Convert I78.0 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
I78.0 4480 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To I78.0

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 I78.0, Billing FAQ

Is ICD-10 code I78.0 billable? +

Yes, I78.0 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 I78.0? +

ICD-10 I78.0 includes: Rendu-Osler-Weber disease.

Does I78.0 affect Medicare Advantage HCC risk adjustment? +

Yes. I78.0 maps to CMS-HCC v28 category 108. Capture this diagnosis annually for accurate Medicare Advantage risk score.

What CPT codes are commonly billed with I78.0? +

Procedures frequently paired with I78.0 include: 36468.

What ICD-9 codes does I78.0 map to? +

Per CMS GEMs, I78.0 maps to ICD-9 codes: 4480. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 2, 2026.

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