ICD Code I26.9

ICD code I26.9 is acute pulmonary embolism, unspecified.

1. Sudden onset of unexplained shortness of breath

2. Chest pain that may worsen with deep breathing or coughing

3. Rapid heart rate (tachycardia)

4. Cough, which may produce blood-tinged sputum

5. Signs of right heart strain on ECG or imaging

6. Evidence of a blood clot in the pulmonary arteries on imaging (e.g., CT pulmonary angiography)

7. Absence of chronic or pre-existing pulmonary embolism diagnosis

8. No clear evidence of an acute cor pulmonale or other specified complications

Relevant CPT codes that may be used to treat ICD code I26.9 include:

- 71250 (CT thorax without contrast)

- 71260 (CT thorax with contrast)

- 71275 (CT angiography, chest)

- 93010 (Electrocardiogram, interpretation and report)

- 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)

- 99284-99285 (Emergency department visit, high complexity)

These CPT codes are commonly associated with the evaluation and management of conditions related to ICD code I26.9.

See how MD Clarity’s RevFind software can automatically read your payer contracts and identify underpayments for CPT codes associated with ICD code I26.9. Schedule a demo today to ensure your organization is capturing every dollar it’s owed.