I76 — Septic arterial embolism
I76 is a billable, specific ICD-10-CM code for septic arterial embolism. It is valid for submission on a claim.
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Code first
The underlying condition must be sequenced before this code.
Use additional code
Add a secondary code to capture the detail described below.
- code to identify the site of the embolism (I74.-)
Risk adjustment
I76 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 264 Vascular Disease with Complications0.455 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
I76 is named in 36 Medicare coverage policies — 36 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52868Billing and Coding: Transesophageal Echocardiography (TEE)
- A52992Billing and Coding: Non-Invasive Cerebrovascular Arterial Studies
- A52992Billing and Coding: Non-Invasive Cerebrovascular Arterial Studies
- A56505Billing and Coding: Transesophageal Echocardiography (TEE)
How I76 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to I76.
- Embolism›pyemic(multiple)
- Embolism›septic(arterial)
- Embolism›artery›septic
Questions about I76
- Is I76 a billable ICD-10-CM code?
- Yes. I76 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does I76 sit in the tabular list?
- Diseases of the circulatory system (I00-I99), in the block Diseases of arteries, arterioles and capillaries (I70-I79).