2019

  1. ICD-10-CM Codes
    2. ›
  2. I00-I99 Diseases of the circulatory system
    3. ›
  3. I26-I28 Pulmonary heart disease and diseases of pulmonary circulation
    4. ›

Pulmonary embolism I26- >

Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (I26) and the excluded code together.
  • chronic pulmonary embolism (
    ICD-10-CM Diagnosis Code I27.82

    Chronic pulmonary embolism

      2016 2017 2018 2019 Billable/Specific Code
    Type 1 Excludes
    • personal history of pulmonary embolism (Z86.711)
    Use Additional
    • code, if applicable, for associated long-term (current) use of anticoagulants (Z79.01)
    I27.82
    )
  • personal history of pulmonary embolism (
    ICD-10-CM Diagnosis Code Z86.711

    Personal history of pulmonary embolism

      2016 2017 2018 2019 Billable/Specific Code POA Exempt
    Z86.711
    )
  • pulmonary embolism complicating abortion, ectopic or molar pregnancy (
    ICD-10-CM Diagnosis Code O00

    Ectopic pregnancy

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Includes
    • ruptured ectopic pregnancy
    Use Additional
    • code from category O08 to identify any associated complication
    O00
    -
    ICD-10-CM Diagnosis Code O07

    Failed attempted termination of pregnancy

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Includes
    • failure of attempted induction of termination of pregnancy
    • incomplete elective abortion
    Type 1 Excludes
    • incomplete spontaneous abortion (O03.0-)
    O07
    ,
    ICD-10-CM Diagnosis Code O08.2

    Embolism following ectopic and molar pregnancy

      2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    Applicable To
    • Air embolism following ectopic and molar pregnancy
    • Amniotic fluid embolism following ectopic and molar pregnancy
    • Blood-clot embolism following ectopic and molar pregnancy
    • Embolism NOS following ectopic and molar pregnancy
    • Fat embolism following ectopic and molar pregnancy
    • Pulmonary embolism following ectopic and molar pregnancy
    • Pyemic embolism following ectopic and molar pregnancy
    • Septic or septicopyemic embolism following ectopic and molar pregnancy
    • Soap embolism following ectopic and molar pregnancy
    O08.2
    )
  • pulmonary embolism complicating pregnancy, childbirth and the puerperium (
    ICD-10-CM Diagnosis Code O88
    • O88 Obstetric embolism
      • O88.0 Obstetric air embolism
        • O88.01 Obstetric air embolism in pregnancy
          • O88.011 Air embolism in pregnancy, first trimester
          • O88.012 Air embolism in pregnancy, second trimester
          • O88.013 Air embolism in pregnancy, third trimester
          • O88.019 Air embolism in pregnancy, unspecified trimes...
        • O88.02 Air embolism in childbirth
        • O88.03 Air embolism in the puerperium
      • O88.1 Amniotic fluid embolism
        • O88.11 Amniotic fluid embolism in pregnancy
          • O88.111 Amniotic fluid embolism in pregnancy, first t...
          • O88.112 Amniotic fluid embolism in pregnancy, second ...
          • O88.113 Amniotic fluid embolism in pregnancy, third t...
          • O88.119 Amniotic fluid embolism in pregnancy, unspeci...
        • O88.12 …… in childbirth
        • O88.13 …… in the puerperium
      • O88.2 Obstetric thromboembolism
        • O88.21 Thromboembolism in pregnancy
          • O88.211 Thromboembolism in pregnancy, first trimester...
          • O88.212 Thromboembolism in pregnancy, second trimeste...
          • O88.213 Thromboembolism in pregnancy, third trimester...
          • O88.219 Thromboembolism in pregnancy, unspecified tri...
        • O88.22 Thromboembolism in childbirth
        • O88.23 Thromboembolism in the puerperium
      • O88.3 Obstetric pyemic and septic embolism
        • O88.31 Pyemic and septic embolism in pregnancy
          • O88.311 Pyemic and septic embolism in pregnancy, firs...
          • O88.312 Pyemic and septic embolism in pregnancy, seco...
          • O88.313 Pyemic and septic embolism in pregnancy, thir...
          • O88.319 Pyemic and septic embolism in pregnancy, unsp...
        • O88.32 Pyemic and septic embolism in childbirth
        • O88.33 Pyemic and septic embolism in the puerperium
      • O88.8 Other obstetric embolism
        • O88.81 Other embolism in pregnancy
          • O88.811 …… first trimester
          • O88.812 Other embolism in pregnancy, second trimester...
          • O88.813 …… third trimester
          • O88.819 Other embolism in pregnancy, unspecified trim...
        • O88.82 Other embolism in childbirth
        • O88.83 Other embolism in the puerperium
    O88.-
    )
  • pulmonary embolism due to trauma (
    ICD-10-CM Diagnosis Code T79.0

    Air embolism (traumatic)

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • air embolism complicating abortion or ectopic or molar pregnancy (O00-O07, O08.2)
    • air embolism complicating pregnancy, childbirth and the puerperium (O88.0)
    • air embolism following infusion, transfusion, and therapeutic injection (T80.0)
    • air embolism following procedure NEC (T81.7-)
    T79.0
    ,
    ICD-10-CM Diagnosis Code T79.1

    Fat embolism (traumatic)

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • fat embolism complicating:
    • abortion or ectopic or molar pregnancy (O00-O07, O08.2)
    • pregnancy, childbirth and the puerperium (O88.8)
    T79.1
    )
  • pulmonary embolism due to complications of surgical and medical care (
    ICD-10-CM Diagnosis Code T80.0

    Air embolism following infusion, transfusion and therapeutic injection

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    T80.0
    ,
    ICD-10-CM Diagnosis Code T81.7

    Vascular complications following a procedure, not elsewhere classified

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Applicable To
    • Air embolism following procedure NEC
    • Phlebitis or thrombophlebitis resulting from a procedure
    Type 1 Excludes
    • embolism complicating abortion or ectopic or molar pregnancy (O00-O07, O08.2)
    • embolism complicating pregnancy, childbirth and the puerperium (O88.-)
    • traumatic embolism (T79.0)
    Type 2 Excludes
    • embolism due to prosthetic devices, implants and grafts (T82.8-, T83.81, T84.8-, T85.81-)
    • embolism following infusion, transfusion and therapeutic injection (T80.0)
    T81.7-
    ,
    ICD-10-CM Diagnosis Code T82.8

    Other specified complications of cardiac and vascular prosthetic devices, implants and grafts

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    T82.8-
    )
  • septic (non-pulmonary) arterial embolism (
    ICD-10-CM Diagnosis Code I76

    Septic arterial embolism

      2016 2017 2018 2019 Billable/Specific Code
    Code First
    • underlying infection, such as:
    • infective endocarditis (I33.0)
    • lung abscess (J85.-)
    Type 2 Excludes
    Use Additional
    • code to identify the site of the embolism (I74.-)
    I76
    )
Includes
Includes Help
"Includes" further defines, or give examples of, the content of the code or category.
  • pulmonary (acute) (artery)(vein) infarction
  • pulmonary (acute) (artery)(vein) thromboembolism
  • pulmonary (acute) (artery)(vein) thrombosis
Clinical Information
  • 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.
  • Blocking of the pulmonary artery or one of its branches by an embolus.
  • The closure of the pulmonary artery or one of its branches by an embolus, sometimes associated with infarction of the lung.
  • The obstruction of the pulmonary artery or one of its branches by an embolus, sometimes associated with infarction of the lung.
Codes
  • I26 Pulmonary embolism
    • I26.0 Pulmonary embolism with acute cor pulmonale
      • I26.01 Septic pulmonary embolism with acute cor pulmonale
      • I26.02 Saddle embolus of pulmonary artery with acute cor pulmonale
      • I26.09 Other pulmonary embolism with acute cor pulmonale
    • I26.9 Pulmonary embolism without acute cor pulmonale
      • I26.90 Septic pulmonary embolism without acute cor pulmonale
      • I26.92 Saddle embolus of pulmonary artery without acute cor pulmonale
      • I26.99 Other pulmonary embolism without acute cor pulmonale

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