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.
Excludes1 inherited from the categories above I26.0
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above I26.0
Not part of this code, but both may be coded when both are present.
Written on I26: Pulmonary embolism
- 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)
Other codes that can never be billed with I26.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
- I27.81Cor pulmonale (chronic)
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead I26.0
5 child codes. Green means billable.
- I26.01Septic pulmonary embolism with acute cor pulmonale
- I26.02Saddle embolus of pulmonary artery with acute cor pulmonale
- I26.03Cement embolism of pulmonary artery with acute cor pulmonale
- I26.04Fat embolism of pulmonary artery with acute cor pulmonale
- I26.09Other pulmonary embolism with acute cor pulmonale