ICD CODES

ICD Code I26

ICD code I26 is used to identify cases of pulmonary embolism, a blockage in one of the pulmonary arteries in the lungs.

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What is ICD diagnosis code I26

ICD code I26 is acute pulmonary embolism.

When to use ICD code I26

1. Sudden onset of dyspnea (shortness of breath)

2. Chest pain, often pleuritic in nature

3. Tachycardia (rapid heart rate)

4. Hypoxemia (low blood oxygen saturation)

5. Evidence of right ventricular dysfunction or strain on imaging or echocardiography

6. Signs of deep vein thrombosis (DVT), such as unilateral leg swelling, pain, or redness

7. Hemodynamic instability, including hypotension or shock

8. Confirmed presence of a thrombus in the pulmonary arteries on imaging studies (e.g., CT pulmonary angiography, ventilation-perfusion scan)

9. Unexplained syncope or collapse

10. Elevated D-dimer levels in the appropriate clinical context

Billable CPT codes for ICD code I26

Relevant CPT codes that may be used to treat ICD code I26 include:

- 71250 (CT thorax without contrast)

- 71260 (CT thorax with contrast)

- 71275 (CT angiography, chest)

- 93010 (Electrocardiogram, interpretation and report)

- 93306 (Echocardiography, transthoracic, complete)

- 92950 (Cardiopulmonary resuscitation, CPR)

- 36415 (Collection of venous blood by venipuncture)

- 96365 (Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour)

- 99221-99223 (Initial hospital care, per day, for the evaluation and management of a patient)

- 99231-99233 (Subsequent hospital care, per day, for the evaluation and management of a patient)

Are you being underpaid for encounters with I26

See how MD Clarity’s RevFind software can automatically read your payer contracts and identify underpayments for CPT codes associated with ICD code I26. Schedule a demo today to ensure your organization is capturing every dollar it’s owed.

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