I77.812: Thoracoabdominal aortic ectasia
I77.812, thoracoabdominal aortic ectasia, is listed as a covered diagnosis in 4 Medicare billing and coding articles that apply to 19 HCPCS Level II codes, including G0278 (Iliac and/or femoral artery angiography, non-selective…), C8900 (Magnetic resonance angiography with contrast, abdomen), C8901 (Magnetic resonance angiography without contrast, abdomen). The articles come from 4 Medicare contractors. A listed diagnosis supports medical necessity only; coverage still depends on the LCD's criteria and on documentation in the medical record.
HCPCS Level II codes with I77.812 as a covered diagnosis
| Code | Description | Medicare coverage | DMEPOS fee 2026 (state range) | Articles listing it |
|---|---|---|---|---|
| G0278 | Iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation (list separately in addition to primary procedure) | Carrier judgment | — | 2 |
| C8900 | Magnetic resonance angiography with contrast, abdomen | Special coverage instructions apply | — | 2 |
| C8901 | Magnetic resonance angiography without contrast, abdomen | Special coverage instructions apply | — | 2 |
| C8902 | Magnetic resonance angiography without contrast followed by with contrast, abdomen | Special coverage instructions apply | — | 2 |
| C8909 | Magnetic resonance angiography with contrast, chest (excluding myocardium) | Special coverage instructions apply | — | 2 |
| C8910 | Magnetic resonance angiography without contrast, chest (excluding myocardium) | Special coverage instructions apply | — | 2 |
| C8911 | Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium) | Special coverage instructions apply | — | 2 |
| C8912 | Magnetic resonance angiography with contrast, lower extremity | Special coverage instructions apply | — | 2 |
| C8913 | Magnetic resonance angiography without contrast, lower extremity | Special coverage instructions apply | — | 2 |
| C8914 | Magnetic resonance angiography without contrast followed by with contrast, lower extremity | Special coverage instructions apply | — | 2 |
| C8918 | Magnetic resonance angiography with contrast, pelvis | Special coverage instructions apply | — | 2 |
| C8919 | Magnetic resonance angiography without contrast, pelvis | Special coverage instructions apply | — | 2 |
| C8920 | Magnetic resonance angiography without contrast followed by with contrast, pelvis | Special coverage instructions apply | — | 2 |
| C8931 | Magnetic resonance angiography with contrast, spinal canal and contents | Special coverage instructions apply | — | 2 |
| C8932 | Magnetic resonance angiography without contrast, spinal canal and contents | Special coverage instructions apply | — | 2 |
| C8933 | Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents | Special coverage instructions apply | — | 2 |
| C8934 | Magnetic resonance angiography with contrast, upper extremity | Special coverage instructions apply | — | 2 |
| C8935 | Magnetic resonance angiography without contrast, upper extremity | Special coverage instructions apply | — | 2 |
| C8936 | Magnetic resonance angiography without contrast followed by with contrast, upper extremity | Special coverage instructions apply | — | 2 |
Medicare policy articles listing I77.812
- A56682: Billing and Coding: Diagnostic Abdominal Aortography and Renal Angiography (Novitas Solutions, Inc. (MAC - Part A, MAC - Part B); 1 Level II codes). LCD with the same title: L35092
- A56747: Billing and Coding: Magnetic Resonance Angiography (MRA) (Wellpoint Federal (MAC - Part A, MAC - Part B); 18 Level II codes). LCD with the same title: L33633, L34372, L34865
- A56775: Billing and Coding: Magnetic Resonance Angiography (Palmetto GBA (MAC - Part A, MAC - Part B); 18 Level II codes). LCD with the same title: L34424
- A57056: Billing and Coding: Aortography and Peripheral Angiography (First Coast Service Options, Inc. (MAC - Part A, MAC - Part B); 1 Level II codes). LCD with the same title: L36767
A diagnosis listed as covered in a billing and coding article supports medical necessity for the article's codes; it does not guarantee payment. Coverage depends on the LCD's criteria, the contractor's jurisdiction and documentation in the medical record.
Other I77 diagnoses (Other disorders of arteries and arterioles)
- I77.810 — Thoracic aortic ectasia
- I77.811 — Abdominal aortic ectasia
- I77.82 — Antineutrophilic cytoplasmic antibody [ANCA] vasculitis
- I77.89 — Other specified disorders of arteries and arterioles
- I77.0 — Arteriovenous fistula, acquired
- I77.1 — Stricture of artery
- I77.2 — Rupture of artery
- I77.3 — Arterial fibromuscular dysplasia
- I77.4 — Celiac artery compression syndrome
- I77.5 — Necrosis of artery
- I77.6 — Arteritis, unspecified
- I77.71 — Dissection of carotid artery
- I77.72 — Dissection of iliac artery
- I77.73 — Dissection of renal artery
- I77.74 — Dissection of vertebral artery
- 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
Frequently asked questions
Does Medicare cover I77.812 (Thoracoabdominal aortic ectasia)?
Medicare covers items and services, not diagnoses. 4 Medicare billing and coding articles list I77.812 as a covered diagnosis for 19 HCPCS Level II codes: the diagnosis can support medical necessity for those codes, but payment still depends on the LCD's coverage criteria and the medical record.
Which HCPCS codes can be billed with ICD-10 I77.812?
The Level II codes from the policies most specific to this diagnosis are G0278 (Iliac and/or femoral artery angiography, non-selective…, 2 articles); C8900 (Magnetic resonance angiography with contrast, abdomen, 2 articles); C8901 (Magnetic resonance angiography without contrast, abdomen, 2 articles); C8902 (Magnetic resonance angiography without contrast followed…, 2 articles); C8909 (Magnetic resonance angiography with contrast, chest…, 2 articles). Code choice depends on the item supplied; check each code's descriptor.
Which Medicare policy articles list I77.812?
A56682 (Billing and Coding: Diagnostic Abdominal Aortography and Renal Angiography); A56747 (Billing and Coding: Magnetic Resonance Angiography (MRA)); A56775 (Billing and Coding: Magnetic Resonance Angiography), and 1 more article.
What is ICD-10-CM code I77.812?
I77.812 is the ICD-10-CM code for thoracoabdominal aortic ectasia, in category I77 (Other disorders of arteries and arterioles), chapter 9: Diseases of the circulatory system.
Next steps
- Run a reimbursement report for a device billed under G0278
- Watch G0278 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for G0278
Sources: CMS Medicare Coverage Database billing and coding articles (covered ICD-10 code lists and HCPCS links); ICD-10-CM FY2026; CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026 (non-rural state fees). Not billing or legal advice.
Chapter 9: Diseases of the circulatory system · All diagnoses · HCPCS lookup