ICD-10 Diagnosis Code I26.9

Pulmonary embolism without acute cor pulmonale

Diagnosis Code I26.9

ICD-10: I26.9
Short Description: Pulmonary embolism without acute cor pulmonale
Long Description: Pulmonary embolism without acute cor pulmonale
This is the 2019 version of the ICD-10-CM diagnosis code I26.9

Not Valid for Submission
The code I26.9 is a "header" and not valid for submission for HIPAA-covered transactions.

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

Information for Patients


Pulmonary Embolism

Also called: Blood clots in the lung

A pulmonary embolism is a sudden blockage in a lung artery. 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. Pulmonary embolism is a serious condition that can cause

  • Permanent damage to the affected lung
  • Low oxygen levels in your blood
  • Damage to other organs in your body from not getting enough oxygen

If a clot is large, or if there are many clots, pulmonary embolism can cause death.

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. The goal of treatment is to break up clots and help keep other clots from forming.

NIH: National Heart, Lung, and Blood Institute

  • Coughing up blood (Medical Encyclopedia)
  • D-dimer test (Medical Encyclopedia)
  • Pulmonary embolus (Medical Encyclopedia)

[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Present on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

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