Is I26.0 a billable ICD-10-CM code?

No. I26.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does I26.0 sit in the tabular list?

Diseases of the circulatory system (I00-I99), in the block Pulmonary heart disease and diseases of pulmonary circulation (I26-I28).

I26.0

I26.0 — Pulmonary embolism with acute cor pulmonale

Non-billable headerICD-10-CM

I26.0 is a non-billable header ICD-10-CM code for pulmonary embolism with acute cor pulmonale. It cannot be billed on its own: choose one of the more specific child codes below.

Other codes that can never be billed with I26.0

These codes carry an Excludes1 note pointing at I26.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading I26.0 alone.

I27.81Cor pulmonale (chronic)

Risk adjustment

I26.0 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead I26.0

5 child codes. Green means billable.

Related codes at this level

Codes that share I26. If I26.0 is not quite right, the correct code is usually one of these.

I26.9Pulmonary embolism without acute cor pulmonale

Questions about I26.0

Is I26.0 a billable ICD-10-CM code?: No. I26.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does I26.0 sit in the tabular list?: Diseases of the circulatory system (I00-I99), in the block Pulmonary heart disease and diseases of pulmonary circulation (I26-I28).