I27.82: Chronic pulmonary embolism
I27.82 is a billable, specific ICD-10-CM code for chronic pulmonary embolism. It is valid for submission on a claim.
Check I27.82 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- personal history of pulmonary embolism (Z86.711)
Use additional code
Add a secondary code to capture the detail described below.
- code, if applicable, for associated long-term (current) use of anticoagulants (Z79.01)
Risk adjustment
I27.82 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 267 Deep Vein Thrombosis and Pulmonary Embolism0.294 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
I27.82 is named in 30 Medicare coverage policies: 30 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
- A56500Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
Alphabetic index entries that lead here
- Embolism›pulmonary›chronic
- Cor›pulmonale›chronic›with chronic pulmonary embolism
Code history
Unchanged in every release from FY2024 to FY2027.