I74.8 ICD-10-CM Code: Embolism and thrombosis of other arteries
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.
- MS-DRG 299 — PERIPHERAL VASCULAR DISORDERS WITH MCC (MDC 05)
- MS-DRG 300 — PERIPHERAL VASCULAR DISORDERS WITH CC (MDC 05)
- MS-DRG 301 — PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC (MDC 05)
- MS-DRG 791 — PREMATURITY WITH MAJOR PROBLEMS (MDC 15)
- MS-DRG 793 — FULL TERM NEONATE WITH MAJOR PROBLEMS (MDC 15)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Risk Adjustment (CMS-HCC)
Payment categories this diagnosis maps to under CMS-HCC V28, payment year 2026.
- HCC 264 — Vascular Disease with Complications
Other models: CMS-HCC V22 HCC 107
Risk scores depend on the enrollee's full accepted diagnosis set and segment; a category mapping alone does not determine payment.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for I74.8 in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- embolic infarction
- embolic occlusion
- thrombotic infarction
- thrombotic occlusion
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- atheroembolism (I75.-) Compare I74.8 vs I75 →
- basilar embolism and thrombosis (I63.0-I63.2, I65.1) Compare I74.8 vs I63.0 →
- carotid embolism and thrombosis (I63.0-I63.2, I65.2) Compare I74.8 vs I63.0 →
- cerebral embolism and thrombosis (I63.3-I63.5, I66.-) Compare I74.8 vs I63.3 →
- coronary embolism and thrombosis (I21-I25) Compare I74.8 vs I21 →
- mesenteric embolism and thrombosis (K55.0-) Compare I74.8 vs K55.0 →
- ophthalmic embolism and thrombosis (H34.-) Compare I74.8 vs H34 →
- precerebral embolism and thrombosis NOS (I63.0-I63.2, I65.9) Compare I74.8 vs I63.0 →
- pulmonary embolism and thrombosis (I26.-) Compare I74.8 vs I26 →
- renal embolism and thrombosis (N28.0) Compare I74.8 vs N28.0 →
- retinal embolism and thrombosis (H34.-) Compare I74.8 vs H34 →
- septic embolism and thrombosis (I76) Compare I74.8 vs I76 →
- vertebral embolism and thrombosis (I63.0-I63.2, I65.0) Compare I74.8 vs I63.0 →
Code First
Underlying conditions that must be sequenced before this code.
- embolism and thrombosis complicating abortion or ectopic or molar pregnancy (O00-O07, O08.2)
- embolism and thrombosis complicating pregnancy, childbirth and the puerperium (O88.-)
Change history
No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.
Verify Before Coding
- Billable — reportable as written.
- CC as a secondary diagnosis (FY2026). Can raise the stay's MS-DRG severity tier.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Contextual Map
Every relationship of I74.8 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- I00-I99 — Chapter 9: Diseases of the Circulatory System (I00-I99) (I00-I99) [Hierarchy]
- I70-I79 — Diseases of arteries, arterioles and capillaries [Hierarchy]
Referenced by Use Additional Code instructions
- I76 — Septic arterial embolism [Use Additional Code](via I74.-): “code to identify the site of the embolism (I74.-)”
Clinical classification (CCSR)
- CIR030 — Aortic and peripheral arterial embolism or thrombosis [CCSR]
Risk adjustment (CMS-HCC)
- HCC 264 — Vascular Disease with Complications [CMS-HCC]
Potential MS-DRG
- CC — Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (CC).”
- DRG 299 — PERIPHERAL VASCULAR DISORDERS WITH MCC [MS-DRG]: “PERIPHERAL VASCULAR DISORDERS WITH MCC (MDC 05)”
- DRG 300 — PERIPHERAL VASCULAR DISORDERS WITH CC [MS-DRG]: “PERIPHERAL VASCULAR DISORDERS WITH CC (MDC 05)”
- DRG 301 — PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC [MS-DRG]: “PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC (MDC 05)”
- DRG 791 — PREMATURITY WITH MAJOR PROBLEMS [MS-DRG]: “PREMATURITY WITH MAJOR PROBLEMS (MDC 15)”
- DRG 793 — FULL TERM NEONATE WITH MAJOR PROBLEMS [MS-DRG]: “FULL TERM NEONATE WITH MAJOR PROBLEMS (MDC 15)”
Index entries
- Embolism (multiple) (paradoxical), artery, specified NEC[Index term]
- Embolism (multiple) (paradoxical), spleen, splenic (artery)[Index term]
- Infarct, infarction, spleen, embolic or thrombotic[Index term]
- Thrombosis, thrombotic (bland) (multiple) (progressive) (silent) (vessel), artery, arteries (postinfectional), hepatic[Index term]
- Thrombosis, thrombotic (bland) (multiple) (progressive) (silent) (vessel), hepatic (vein), artery[Index term]
- Thrombosis, thrombotic (bland) (multiple) (progressive) (silent) (vessel), liver (venous), artery[Index term]
- Thrombosis, thrombotic (bland) (multiple) (progressive) (silent) (vessel), spleen, splenic, artery[Index term]
Nearest codes (13)
- I74 — Arterial embolism and thrombosis [Sibling]
- I74.0 — Embolism and thrombosis of abdominal aorta [Sibling]
- I74.01 — Saddle embolus of abdominal aorta [Sibling]
- I74.09 — Other arterial embolism and thrombosis of abdominal aorta [Sibling]
- I74.1 — Embolism and thrombosis of other and unspecified parts of aorta [Sibling]
- I74.10 — Embolism and thrombosis of unspecified parts of aorta [Sibling]
- I74.11 — Embolism and thrombosis of thoracic aorta [Sibling]
- I74.19 — Embolism and thrombosis of other parts of aorta [Sibling]
- and 5 more
Referenced by Other Codes
Clinical classification (AHRQ CCSR):CIR030 — Aortic and peripheral arterial embolism or thrombosis (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Potential MS-DRG Relationships (FY2026)
CC — Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 63 clinically related codes on its CMS exclusion list.
Named in the grouper logic of 5 MS-DRGs: DRG 299 (MDC 05), DRG 300 (MDC 05), DRG 301 (MDC 05), DRG 791 (MDC 15), DRG 793 (MDC 15).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Official ICD-10-CM tabular notes on other codes that name I74.8 or its code family.
1 Use Additional Code instructions: I76 (via I74.-).
Nearest Codes in This Family
Official ICD-10-CM classifications closest to I74.8 in its code family, with their registry titles.
- I74.09 — Other arterial embolism and thrombosis of abdominal aorta
- I74.1 — Embolism and thrombosis of other and unspecified parts of aorta
- I74.10 — Embolism and thrombosis of unspecified parts of aorta
- I74.11 — Embolism and thrombosis of thoracic aorta
- I74.19 — Embolism and thrombosis of other parts of aorta
- I74.2 — Embolism and thrombosis of arteries of the upper extremities
- I74.3 — Embolism and thrombosis of arteries of the lower extremities
- I74.4 — Embolism and thrombosis of arteries of extremities, unspecified
- I74.5 — Embolism and thrombosis of iliac artery
- I74.9 — Embolism and thrombosis of unspecified artery
Indexed Clinical Terms (7)
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.
- Embolism (multiple) (paradoxical), artery, specified NEC
- Embolism (multiple) (paradoxical), spleen, splenic (artery)
- Infarct, infarction, spleen, embolic or thrombotic
- Thrombosis, thrombotic (bland) (multiple) (progressive) (silent) (vessel), artery, arteries (postinfectional), hepatic
- Thrombosis, thrombotic (bland) (multiple) (progressive) (silent) (vessel), hepatic (vein), artery
- Thrombosis, thrombotic (bland) (multiple) (progressive) (silent) (vessel), liver (venous), artery
- Thrombosis, thrombotic (bland) (multiple) (progressive) (silent) (vessel), spleen, splenic, artery