2022 ICD-10-CM Code I26

Pulmonary embolism

Version 2021

Not Valid for Submission

ICD-10:I26
Short Description:Pulmonary embolism
Long Description:Pulmonary embolism

Code Classification

  • Diseases of the circulatory system (I00–I99)
    • Pulmonary heart disease and diseases of pulmonary circulation (I26-I28)
      • Pulmonary embolism (I26)

I26 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of pulmonary embolism. The code is not specific and is NOT valid for the year 2022 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding for Pulmonary embolism

Non-specific codes like I26 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for pulmonary embolism:

  • NON-BILLABLE CODE - I26.0 for Pulmonary embolism with acute cor pulmonale
  • BILLABLE CODE - Use I26.01 for Septic pulmonary embolism with acute cor pulmonale
  • BILLABLE CODE - Use I26.02 for Saddle embolus of pulmonary artery with acute cor pulmonale
  • BILLABLE CODE - Use I26.09 for Other pulmonary embolism with acute cor pulmonale
  • NON-BILLABLE CODE - I26.9 for Pulmonary embolism without acute cor pulmonale
  • BILLABLE CODE - Use I26.90 for Septic pulmonary embolism without acute cor pulmonale
  • BILLABLE CODE - Use I26.92 for Saddle embolus of pulmonary artery without acute cor pulmonale
  • BILLABLE CODE - Use I26.93 for Single subsegmental pulmonary embolism without acute cor pulmonale
  • BILLABLE CODE - Use I26.94 for Multiple subsegmental pulmonary emboli without acute cor pulmonale
  • BILLABLE CODE - Use I26.99 for Other pulmonary embolism without acute cor pulmonale

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code I26:


Includes

Includes
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.

Type 2 Excludes

Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.

Clinical Information

Information for Patients


Pulmonary Embolism

What is a pulmonary embolism (PE)?

A pulmonary embolism (PE) is a sudden blockage in a lung artery. It usually happens when a blood clot breaks loose and travels through the bloodstream to the lungs. PE is a serious condition that can cause

PE can be life-threatening, especially if a clot is large, or if there are many clots.

What causes a pulmonary embolism (PE)?

The cause is usually a blood clot in the leg called a deep vein thrombosis that breaks loose and travels through the bloodstream to the lung.

Who is at risk for a pulmonary embolism (PE)?

Anyone can get a pulmonary embolism (PE), but certain things can raise your risk of PE:

What are the symptoms of a pulmonary embolism (PE)?

Half the people who have pulmonary embolism have no symptoms. If you do have symptoms, they can include shortness of breath, chest pain or coughing up blood. Symptoms of a blood clot include warmth, swelling, pain, tenderness and redness of the leg.

How is a pulmonary embolism (PE) diagnosed?

It can be difficult to diagnose PE. To make a diagnosis, your health care provider will

What are the treatments for a pulmonary embolism (PE)?

If you have PE, you need medical treatment right away. The goal of treatment is to break up clots and help keep other clots from forming. Treatment options include medicines and procedures.

Medicines

Procedures

Can pulmonary embolism (PE) be prevented?

Preventing new blood clots can prevent PE. Prevention may include

NIH: National Heart, Lung, and Blood Institute


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Code History

  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)