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Compare/I26 vs I74

I26 vs I74

I26 (Pulmonary embolism) compared with I74 (Arterial embolism and thrombosis), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. I74 carries an Excludes2 note covering I26: “pulmonary embolism and thrombosis (I26.-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

I26Pulmonary embolismI74Arterial embolism and thrombosis
Billing statusNon-billable header

Report instead: I26.01, I26.02, I26.03, I26.04, I26.09

Non-billable header

Report instead: I74.01, I74.09, I74.10, I74.11, I74.19

ClassificationI00-I99 — Diseases of the Circulatory System (I00-I99)I00-I99 — Diseases of the Circulatory System (I00-I99)
DefinitionPulmonary embolism is a non-billable ICD-10-CM category code (I26).Arterial embolism and thrombosis is a non-billable ICD-10-CM category code (I74).
Includes
pulmonary (acute) (artery)(vein) infarction
pulmonary (acute) (artery)(vein) thromboembolism
pulmonary (acute) (artery)(vein) thrombosis
embolic infarction
embolic occlusion
thrombotic infarction
thrombotic occlusion
Code first—
embolism and thrombosis complicating abortion or ectopic or molar pregnancy (O00-O07, O08.2)
embolism and thrombosis complicating pregnancy, childbirth and the puerperium (O88.-)
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources