I76BillableSave

I76 - Septic arterial embolism

ICD-10-CM Chapter 9: Diseases of the circulatory system · I70-I79 Diseases of arteries, arterioles and capillaries (I70-I79) · Top-level category · FY2027

Includes, Excludes and Coding Notes

Excludes 2 — Not Included HereFrom I76

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

  • septic pulmonary embolism (I26.01, I26.90)
Use Additional CodeFrom I76

Add a secondary code to identify the associated condition or cause when it is documented.

  • code to identify the site of the embolism (I74.-)
Code FirstFrom I76

Sequence the underlying condition before this code.

  • underlying infection, such as:
  • infective endocarditis (I33.0)
  • lung abscess (J85.-)
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.-)

Inpatient DRG Payments

DRG 30019,506 discharges

Peripheral Vascular Disorders With Cc

Avg. Medicare Payment

$8,304

Total Payment$10,493
Patient Responsibility$2,189
Hospital Charge$49,396
DRG 29915,558 discharges

Peripheral Vascular Disorders With Mcc

Avg. Medicare Payment

$12,829

Total Payment$15,571
Patient Responsibility$2,742
Hospital Charge$75,125
DRG 3013,898 discharges

Peripheral Vascular Disorders Without Cc/mcc

Avg. Medicare Payment

$5,303

Total Payment$7,396
Patient Responsibility$2,093
Hospital Charge$37,098