2026 ICD-10-CM Diagnosis Code Z86.74Personal history of sudden cardiac arrest

ICD-10-CM Codes›Z00–Z99›Z77-Z99›Z86

ICD-10-CM Z86.74
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Z86.74 is a billable ICD-10-CM diagnosis code for personal history of sudden cardiac arrest. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is not accepted as a principal diagnosis by the Medicare Code Editor and exempt from POA reporting. Coders also document this condition as cardiorespiratory arrest. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Personal history of other disease.

Code Identity

ICD-10-CM Code
Z86.74
Billable Status
Yes — Valid for Submission
Code Describes
Personal history of sudden cardiac arrest
Short Description
Personal history of sudden cardiac arrest
Same as the full description in the CMS dataset.
Parent Code
Z86.7
Personal history of diseases of the circulatory system

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ77-Z99Persons with potential health hazards related to family and personal history and certain conditions influencing health status
CategoryZ86Personal history of certain other diseases
This CodeZ86.74Personal history of sudden cardiac arrest

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z86.74.

Unacceptable principal diagnosis
There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Present on Admission (POA)Billing

Z86.74 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Cardiorespiratory arrest
  • Cardiorespiratory arrest with successful resuscitation
  • History of cardiac arrest
  • History of cardiac arrhythmia
  • Respiratory arrest

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Personal history of sudden cardiac death successfully resuscitated

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Arrest, arrested
      • cardiac
        • personal history, successfully resuscitated
    • Death(cause unknown) (of) (unexplained) (unspecified cause)
      • cardiac (sudden) (with successful resuscitation)
        • personal history of
    • History
      • personal (of)
        • cardiac arrest (death), successfully resuscitated
    • History
      • personal (of)
        • sudden cardiac arrest
    • History
      • personal (of)
        • sudden cardiac death successfully resuscitated

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR FAC030
Personal history of other disease
Default principal diagnosis: inpatient No · outpatient Yes

Patient EducationClinical

Sudden Cardiac Arrest

Sudden cardiac arrest (SCA) is a condition in which the heart suddenly stops beating. When that happens, blood stops flowing to the brain and other vital organs. If it is not treated, SCA usually causes death within minutes. But quick treatment with a defibrillator may be lifesaving.

The full article covers:

  • What is sudden cardiac arrest (SCA)?
  • How is sudden cardiac arrest (SCA) different from a heart attack?
  • What causes sudden cardiac arrest (SCA)?
  • Who is at risk for sudden cardiac arrest (SCA)?
  • What are the symptoms of sudden cardiac arrest (SCA)?
  • How is sudden cardiac arrest (SCA) diagnosed?
  • What are the treatments for sudden cardiac arrest (SCA)?
  • What should I do if I think that someone has had an SCA?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert Z86.74 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V12.53 Hx sudden cardiac arrest
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About Z86.74Overview

Is Z86.74 (Personal history of diseases of the circulatory system) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report personal history of sudden cardiac arrest on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Can Z86.74 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because personal history of sudden cardiac arrest describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Is Z86.74 exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for personal history of sudden cardiac arrest on inpatient claims.

What is the ICD-9 equivalent of Z86.74?

Under the General Equivalence Mappings, personal history of sudden cardiac arrest converts to ICD-9-CM V12.53 (hx sudden cardiac arrest). The mapping is a direct match.