I74 vs I76
I74 (Arterial embolism and thrombosis) 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. I74 carries an Excludes2 note covering I76: “septic embolism and thrombosis (I76)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Sequencing on the claim
1stI76 then I74
I76 carries a Use Additional Code instruction covering I74: “code to identify the site of the embolism (I74.-)”
Side by side
| I74Arterial embolism and thrombosis | 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 | Arterial embolism and thrombosis is a non-billable ICD-10-CM category code (I74). | Septic arterial embolism is a billable ICD-10-CM diagnosis code (I76). |
| Includes | embolic infarction embolic occlusion thrombotic infarction thrombotic occlusion | — |
| Use additional code | — | code to identify the site of the embolism (I74.-) |
| 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.-) | 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