I26.99 Other pulmonary embolism without acute cor pulmonale
Billable ICD-10-CM code, FY2026. Acts as a Major Complication or Comorbidity (MCC) as a secondary diagnosis.
Applicable to
- Acute pulmonary embolism NOS
- Other thrombotic pulmonary embolism without acute cor pulmonale
- Pulmonary embolism NOS
Applies from I26 Pulmonary embolism
Includes
- pulmonary (acute) (artery)(vein) infarction
- pulmonary (acute) (artery)(vein) thromboembolism
- pulmonary (acute) (artery)(vein) thrombosis
Excludes1 (never code together)
- cor pulmonale without embolism (I27.81)
Excludes2 (not included here)
- 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)
Risk adjustment (HCC)
- CMS-HCC V28: HCC 267 — Deep Vein Thrombosis and Pulmonary Embolism
- CMS-HCC V22: HCC 107 — Vascular Disease with Complications
- RxHCC V08: HCC 215 — Venous Thromboembolism
- ESRD V24: HCC 107
MS-DRG index
Defines the logic of DRG(s) 173 in MDC 04.
Approximate ICD-9-CM (GEMs)
415.19 Other pulmonary embolism and infarction (approximate)
Code annotations containing back-references to I26.99
Back-references to I26
- Code Also:
I27.24 Chronic thromboembolic pulmonary hypertension ("associated pulmonary embolism, if applicable (I26.-, I27.82)") - Code First:
I5A Non-ischemic myocardial injury (non-traumatic) ("pulmonary embolism (I26.-)") - Type 2 Excludes:
I74 Arterial embolism and thrombosis ("pulmonary embolism and thrombosis (I26.-)") - Type 2 Excludes:
I82 Other venous embolism and thrombosis ("pulmonary (I26.-)") - Code First:
U09.9 Post COVID-19 condition, unspecified ("pulmonary embolism (I26.-)")
Diagnosis Index entries for I26.99
- Embolism (multiple) (paradoxical) › pulmonary (acute) (artery) (vein)
- Embolism (multiple) (paradoxical) › thrombotic › specified NEC
Nearby codes
I26.92 Saddle embolus of pulmonary artery without acute cor pulmonaleI26.93 Single subsegmental thrombotic pulmonary embolism without acute cor pulmonaleI26.94 Multiple subsegmental thrombotic pulmonary emboli without acute cor pulmonaleI26.95 Cement embolism of pulmonary artery without acute cor pulmonaleI26.96 Fat embolism of pulmonary artery without acute cor pulmonaleI26.99 Other pulmonary embolism without acute cor pulmonale (this code)