I26Non-billableSave

I26 - Pulmonary embolism

ICD-10-CM Chapter 9: Diseases of the circulatory system · I26-I28 Pulmonary heart disease and diseases of pulmonary circulation (I26-I28) · Top-level category · FY2027

Coding Guidance

I26 is a non-billable heading. Report one of the 2 more specific codes below.

Includes, Excludes and Coding Notes

IncludesFrom I26

Conditions this code covers.

  • pulmonary (acute) (artery)(vein) infarction
  • pulmonary (acute) (artery)(vein) thromboembolism
  • pulmonary (acute) (artery)(vein) thrombosis
Excludes 1 — Not Coded HereFrom I26

Mutually exclusive: these conditions are never reported together with this code.

  • cor pulmonale without embolism (I27.81)
Excludes 2 — Not Included HereFrom I26

Not part of this code; report both codes when the patient has both conditions.

  • 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)
Excludes 2 — Not Included HereFrom Chapter I00-I99

Not part of this code; report both codes when the patient has both conditions.

  • 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.-)

Documentation requirements, coding pitfalls and FAQs for conditions coded with I26.