I76: Septic arterial embolism
I76 is a billable, specific ICD-10-CM code for septic arterial embolism. It is valid for submission on a claim.
Check I76 with the rest of the claim: free scrubberExcludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Code first
The underlying condition must be sequenced before this code.
Use additional code
Add a secondary code to capture the detail described below.
- code to identify the site of the embolism (I74.-)
Risk adjustment
I76 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 264 Vascular Disease with Complications0.455 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
I76 is named in 21 Medicare coverage policies: 21 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52868Billing and Coding: Transesophageal Echocardiography (TEE)
- A52992Billing and Coding: Non-Invasive Cerebrovascular Arterial Studies
- A56505Billing and Coding: Transesophageal Echocardiography (TEE)
- A56697Billing and Coding: Non-Invasive Vascular Studies
Alphabetic index entries that lead here
- Embolism›pyemic(multiple)
- Embolism›septic(arterial)
- Embolism›artery›septic
Code history
Unchanged in every release from FY2024 to FY2027.