Coding and coverage · ICD-10-CM

I74

I74.2 Embolism and thrombosis of arteries of the upper extremities

BillableCMS-HCC V28: HCC 264Chapter 9
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Instructional notes

Chapter 9

Excludes2Not included here: the patient may have both; report both when both are present.
  • 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.-)

I74

Excludes2Not included here: the patient may have both; report both when both are present.
Code firstSequence the underlying condition first.
  • embolism and thrombosis complicating abortion or ectopic or molar pregnancy (O00-O07, O08.2)
  • embolism and thrombosis complicating pregnancy, childbirth and the puerperium (O88.-)
Includes
  • embolic infarction
  • embolic occlusion
  • thrombotic infarction
  • thrombotic occlusion

Chapter 9: Diseases of the circulatory system · I70-I79 Diseases of arteries, arterioles and capillaries (I70-I79)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.