I26.02

Saddle embolus of pulmonary artery with acute cor pulmonale

Risk-adjusting (HCC)Billable code

HCC risk adjustment mapping

CMS-HCC V28

HCC267

Deep Vein Thrombosis and Pulmonary Embolism

CMS-HCC ESRD V24

HCC85

Congestive Heart Failure

HCC107

Vascular Disease with Complications

RxHCC V08

RXHCC186

Heart Failure

RXHCC215

Venous Thromboembolism

Coding notes

Excludes 1 never coded together · Excludes 2 may co-exist

Inherited from I26Pulmonary embolism
Includes

pulmonary (acute) (artery)(vein) infarction pulmonary (acute) (artery)(vein) thromboembolism pulmonary (acute) (artery)(vein) thrombosis

Excludes 1

cor pulmonale without embolism (I27.81)

Excludes 2

chronic pulmonary embolism (I27.82) personal history of pulmonary embolism (Z86.711) pulmonary embolism complicating abortion, ectopic or molar pregnancy (O00-O07, O08.2) pulmonary embolism complicating pregnancy, childbirth and the puerperium (O88.-) pulmonary embolism due to trauma (T79.0, T79.1) pulmonary embolism due to complications of surgical and medical care (T80.0, T81.7-, T82.8-) septic (non-pulmonary) arterial embolism (I76)

Inherited from chapter 9Diseases of the circulatory system
Excludes 2

certain conditions originating in the perinatal period (P04-P96) certain infectious and parasitic diseases (A00-B99) complications of pregnancy, childbirth and the puerperium (O00-O9A) congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99) endocrine, nutritional and metabolic diseases (E00-E88) injury, poisoning and certain other consequences of external causes (S00-T88) neoplasms (C00-D49) symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94) systemic connective tissue disorders (M30-M36) transient cerebral ischemic attacks and related syndromes (G45.-)

Official Guidelines for I26.02

FY 2026 ›