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I46 ICD-10-CM Code: Cardiac arrest

ICD-10-CM Code View

HCC Buddy Code Card

Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.

FY 2026 Apr update / Diseases of the circulatory system (I00-I99) / Other forms of heart disease (I30-I5A)

I46

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Cardiac arrest

Cardiac arrest

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
I4Other forms of heart disease (I30-I5A)
I46Cardiac arrest

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for I46 in this effective period.

Excludes 2

Official
  • cardiogenic shock (R57.0)

Related Child Codes

Official
I46.2Cardiac arrest due to underlying cardiac condition
I46.8Cardiac arrest due to other underlying condition
I46.9Cardiac arrest, cause unspecified

Includes

Official

ICD-10-CM does not list Includes notes for I46 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for I46 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for I46 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for I46 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for I46 in this effective period.

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Code
I46
Description
Cardiac arrest
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

I46 is the ICD-10-CM diagnosis code for cardiac arrest. I46 sits in the ICD-10-CM chapter for diseases of the circulatory system (i00-i99), within the section covering other forms of heart disease (i30-i5a).

Header codes like I46 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at I46's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for I46 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 2, Not included here, may code separately

  • cardiogenic shock (R57.0)

Child Codes

Code Hierarchy

I46Cardiac arrest
I46Cardiac arrest

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