MCMCB Pro
Z86.74

Z86.74Personal history of sudden cardiac arrest

Billable / specific codeICD-10-CMPOA exempt

Z86.74 is a billable, specific ICD-10-CM code for personal history of sudden cardiac arrest. It is valid for submission on a claim.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Personal history of sudden cardiac death successfully resuscitated

Risk adjustment

Z86.74 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.

Medicare coverage

Z86.74 is named in 22 Medicare coverage policies 22 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A56391Billing and Coding: Implantable Automatic Defibrillators
  • A56391Billing and Coding: Implantable Automatic Defibrillators
  • A56505Billing and Coding: Transesophageal Echocardiography (TEE)
  • A56602Billing and Coding: Cardiac Rhythm Device Evaluation

How Z86.74 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Z86.74.

  • Arrest, arrestedcardiacpersonal history, successfully resuscitated
  • Deathcardiacpersonal history of
  • Historypersonalcardiac arrest, successfully resuscitated(death)
  • Historypersonalsudden cardiac arrest
  • Historypersonalsudden cardiac death successfully resuscitated

Related codes at this level

Codes that share Z86.7. If Z86.74 is not quite right, the correct code is usually one of these.

Questions about Z86.74

Is Z86.74 a billable ICD-10-CM code?
Yes. Z86.74 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Z86.74 sit in the tabular list?
Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.