I26 vs I76
I26 (Pulmonary embolism) compared with I76 (Septic arterial embolism), 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. I26 carries an Excludes2 note covering I76: “septic (non-pulmonary) arterial embolism (I76)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| I26Pulmonary embolism | I76Septic arterial embolism | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | I00-I99 — Diseases of the Circulatory System (I00-I99) | I00-I99 — Diseases of the Circulatory System (I00-I99) |
| Definition | Pulmonary embolism is a non-billable ICD-10-CM category code (I26). | Septic arterial embolism is a billable ICD-10-CM diagnosis code (I76). |
| Includes | pulmonary (acute) (artery)(vein) infarction pulmonary (acute) (artery)(vein) thromboembolism pulmonary (acute) (artery)(vein) thrombosis | — |
| Use additional code | — | code to identify the site of the embolism (I74.-) |
| Code first | — | underlying infection, such as: infective endocarditis (I33.0) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources