2019 ICD-10-CM Diagnosis Code I26.90

Septic pulmonary embolism without acute cor pulmonale

    2016 2017 2018 2019 Billable/Specific Code
  • I26.90 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2019 edition of ICD-10-CM I26.90 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of I26.90 - other international versions of ICD-10 I26.90 may differ.
Code First
Code First Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • underlying infection
The following code(s) above I26.90 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to I26.90:
  • I00-I99
    2019 ICD-10-CM Range I00-I99

    Diseases of the circulatory system

    Type 2 Excludes
    • 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.-)
    Diseases of the circulatory system
  • I26
    ICD-10-CM Diagnosis Code I26

    Pulmonary embolism

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Includes
    • pulmonary (acute) (artery)(vein) infarction
    • pulmonary (acute) (artery)(vein) thromboembolism
    • pulmonary (acute) (artery)(vein) thrombosis
    Type 2 Excludes
    • 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)
    Pulmonary embolism
Approximate Synonyms
  • Septic pulmonary embolism
  • Septic pulmonary embolism (blood clot in lung)
ICD-10-CM I26.90 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 175 Pulmonary embolism with mcc
  • 176 Pulmonary embolism without mcc
  • 793 Full term neonate with major problems

Convert I26.90 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
Code annotations containing back-references to I26.90:
  • Type 2 Excludes: I76
    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.-)

Diagnosis Index entries containing back-references to I26.90:
  • Embolism (multiple) (paradoxical) I74.9
    ICD-10-CM Diagnosis Code I74.9

    Embolism and thrombosis of unspecified artery

      2016 2017 2018 2019 Billable/Specific Code
    • pulmonary (acute) (artery) (vein) I26.99
      ICD-10-CM Diagnosis Code I26.99

      Other pulmonary embolism without acute cor pulmonale

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Acute pulmonary embolism NOS
      • Pulmonary embolism NOS

ICD-10-CM Codes Adjacent To I26.90
I25.83 Coronary atherosclerosis due to lipid rich plaque
I25.84 Coronary atherosclerosis due to calcified coronary lesion
I25.89 Other forms of chronic ischemic heart disease
I25.9 Chronic ischemic heart disease, unspecified
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
I27 Other pulmonary heart diseases
I27.0 Primary pulmonary hypertension
I27.1 Kyphoscoliotic heart disease
I27.2 Other secondary pulmonary hypertension
I27.20 Pulmonary hypertension, unspecified
I27.21 Secondary pulmonary arterial hypertension
I27.22 Pulmonary hypertension due to left heart disease
I27.23 Pulmonary hypertension due to lung diseases and hypoxia

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.