I26.9
I26.9 — Pulmonary embolism without acute cor pulmonale
Non-billable headerICD-10-CM
I26.9 is a non-billable header ICD-10-CM code for pulmonary embolism without acute cor pulmonale. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
I26.9 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 I26.9
7 child codes. Green means billable.
- I26.90Septic pulmonary embolism without acute cor pulmonale
- I26.92Saddle embolus of pulmonary artery without acute cor pulmonale
- I26.93Single subsegmental thrombotic pulmonary embolism without acute cor pulmonale
- I26.94Multiple subsegmental thrombotic pulmonary emboli without acute cor pulmonale
- I26.95Cement embolism of pulmonary artery without acute cor pulmonale
- I26.96Fat embolism of pulmonary artery without acute cor pulmonale
- I26.99Other pulmonary embolism without acute cor pulmonale
Related codes at this level
Codes that share I26. If I26.9 is not quite right, the correct code is usually one of these.
Questions about I26.9
- Is I26.9 a billable ICD-10-CM code?
- No. I26.9 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does I26.9 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).