All ICD10 Codes

I26

Non-Billable
ChapterI00–I99
Rankcategory
Official Description

Pulmonary embolism

Use a more specific code (0 billable, 2 non-billable)
I26.0Pulmonary embolism with acute cor pulmonalehas subcodesI26.9Pulmonary embolism without acute cor pulmonalehas subcodes
Metadata & Insights
  • •Non-billable category (requires more specific sub-code).
  • •Chapter 9: Diseases of the Circulatory System (I00-I99).

CH9 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • systemic connective tissue disorders (M30-M36)
  • transient cerebral ischemic attacks and related syndromes (G45.-)

Instructional Notes

Includes
  • pulmonary (acute) (artery)(vein) infarction
  • pulmonary (acute) (artery)(vein) thromboembolism
  • pulmonary (acute) (artery)(vein) thrombosis
Excludes1(Not coded here. Use a different code.)
  • cor pulmonale without embolism (I27.81)
Excludes2(Not included here. Code separately if applicable.)
  • chronic pulmonary embolism (I27.82)
  • personal history of pulmonary embolism (Z86.711)
  • pulmonary embolism complicating abortion, ectopic or molar pregnancy (O00-O07, O08.2)
  • pulmonary embolism complicating pregnancy, childbirth and the puerperium (O88.-)
  • pulmonary embolism due to trauma (T79.0, T79.1)
  • pulmonary embolism due to complications of surgical and medical care (T80.0, T81.7-, T82.8-)
  • septic (non-pulmonary) arterial embolism (I76)

Clinical Hierarchy

BillableHas subcodes
CH9Diseases of the circulatory system (I00-I99)
I26-I28Pulmonary heart disease and diseases of pulmonary circulation (I26-I28)
I26Pulmonary embolismNot billable
I26.0Pulmonary embolism with acute cor pulmonaleSubcodes
I26.9Pulmonary embolism without acute cor pulmonaleSubcodes

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to I26:

chapterCH9
Diseases of the circulatory system (I00-I99)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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