2020 ICD-10-CM Diagnosis Code I26.99

Other pulmonary embolism without acute cor pulmonale

    2016 2017 2018 2019 2020 Billable/Specific Code
  • I26.99 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM I26.99 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of I26.99 - other international versions of ICD-10 I26.99 may differ.
Applicable To
  • Acute pulmonary embolism NOS
  • Pulmonary embolism NOS
The following code(s) above I26.99 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 I26.99:
  • I00-I99
    2020 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 2020 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
  • Acute pulmonary embolism
  • Iatrogenic pulmonary embolism with infarction
  • Infarction of lung due to iatrogenic pulmonary embolism
  • Pulmonary embolism
  • Pulmonary embolism (blood clot in lung)
  • Pulmonary embolism and infarction, iatrogenic
  • Pulmonary embolism with infarction
  • Pulmonary embolism with pulmonary infarction
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.
ICD-10-CM I26.99 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 175 Pulmonary embolism with mcc or acute cor pulmonale
  • 176 Pulmonary embolism without mcc
  • 791 Prematurity with major problems
  • 793 Full term neonate with major problems

Convert I26.99 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
  • 2020 (effective 10/1/2019): No change

Diagnosis Index entries containing back-references to I26.99:
  • Embolism (multiple) (paradoxical) I74.9
    ICD-10-CM Diagnosis Code I74.9

    Embolism and thrombosis of unspecified artery

      2016 2017 2018 2019 2020 Billable/Specific Code

ICD-10-CM Codes Adjacent To I26.99
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
I26.93 Single subsegmental pulmonary embolism without acute cor pulmonale
I26.94 Multiple subsegmental pulmonary emboli 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
I27.24 Chronic thromboembolic pulmonary hypertension
I27.29 Other secondary pulmonary hypertension

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