ICD-10-CM I26 is the diagnosis code for Pulmonary embolism. This code falls under the section "Pulmonary heart disease and diseases of pulmonary circulation" within Chapter 9 â Diseases of the circulatory system (I00-I99). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
The following conditions should never be coded at the same time as I26. They are mutually exclusive:
The following conditions are not included in I26. If the patient has both, code each condition separately:
Understanding where I26 sits in the ICD-10-CM classification helps ensure proper coding:
No, I26 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.
I26 is the ICD-10-CM diagnosis code for "Pulmonary embolism". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
I26 is located in Section I26-I28 â "Pulmonary heart disease and diseases of pulmonary circulation" within Chapter 9 of the ICD-10-CM Tabular List.
I26 has 2 sub-code(s) that provide more specific detail: I26.0, I26.9.
Use I26 when the patients documented diagnosis matches "Pulmonary embolism" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Pulmonary embolism is I26.
No, I26 is non-billable. Use a more specific sub-code for primary diagnosis billing.
I26 is in Chapter 9 of the ICD-10-CM Tabular List.
Type 1 Excludes for I26 include: cor pulmonale without embolism (I27.81).
Yes, I26 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.