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ICD-10-CM Code I26
Pulmonary embolism

NON-BILLABLE
Non-Billable Code
Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail.
| ICD-10 from 2011 - 2016

ICD Code I26 is a non-billable code. To code a diagnosis of this type, you must use one of the two child codes of I26 that describes the diagnosis 'pulmonary embolism' in more detail.


The ICD code I26 is used to code Pulmonary embolism

Pulmonary embolism (PE) is a blockage of the lung's main artery or one of its branches by a substance that has traveled from elsewhere in the body through the bloodstream (embolism). PE results from a deep vein thrombosis (commonly a blood clot in a leg) that breaks off and migrates to the lung, a process termed venous thromboembolism (VTE). The risk of VTE is increased in various situations, such as cancer or prolonged bed rest. A small proportion of cases are caused by the embolization of air, fat, or talc in drugs of intravenous drug users or amniotic fluid.

Specialty: Hematology, Cardiology, Pulmonology
MeSH Code: D011655
ICD 9 Code: 415.1

Chest spiral CT scan with radiocontrast agent showing multiple filling defects both at the bifurcation ("saddle" pulmonary embolism) and in the pulmonary arteries.

Source: Wikipedia

Coding Notes for I26 Info for medical coders on how to properly use this ICD-10 code

Code Includes Notes:
Includes
Includes notes further define, or give examples of, conditions included in the section.
Pulmonary (acute) (artery)(vein) infarction
Pulmonary (acute) (artery)(vein) thromboembolism
Pulmonary (acute) (artery)(vein) thrombosis
Code Type-2 Excludes:
Type-2 Excludes
Type-2 Excludes means the excluded conditions are different, although they may appear similar. A patient may have both conditions, but one does not include the other. Excludes 2 means "not coded here."
Chronic pulmonary embolism - instead, use code I27.82
Personal history of pulmonary embolism - instead, use code Z86.711
Pulmonary embolism complicating abortion, ectopic or molar pregnancy - instead, use Section O00-O07, O08.2)
Pulmonary embolism complicating pregnancy, childbirth and the puerperium - instead, use code O88.-
Pulmonary embolism due to trauma (T79.0, T79.1) - instead, use code T79.0
Pulmonary embolism due to complications of surgical and medical care (T80.0, T81.7-, T82.8-) - instead, use code T80.0
Septic (non-pulmonary) arterial embolism - instead, use Code I76

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/I26