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I74 ICD-10-CM Code: Arterial embolism and thrombosis

ICD-10-CM Code View

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FY 2026 Apr update / Diseases of the circulatory system (I00-I99) / Diseases of arteries, arterioles and capillaries (I70-I79)

I74

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

Arterial embolism and thrombosis

Arterial embolism and thrombosis

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
I7Diseases of arteries, arterioles and capillaries (I70-I79)
I74Arterial embolism and thrombosis

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for I74 in this effective period.

Excludes 2

Official
  • atheroembolism (I75.-)
  • basilar embolism and thrombosis (I63.0-I63.2, I65.1)
  • carotid embolism and thrombosis (I63.0-I63.2, I65.2)
  • cerebral embolism and thrombosis (I63.3-I63.5, I66.-)
  • coronary embolism and thrombosis (I21-I25)

Related Child Codes

Official
I74.0Embolism and thrombosis of abdominal aorta
I74.1Embolism and thrombosis of other and unspecified parts of aorta
I74.2Embolism and thrombosis of arteries of the upper extremities
I74.3Embolism and thrombosis of arteries of the lower extremities
I74.4Embolism and thrombosis of arteries of extremities, unspecified

Includes

Official
  • embolic infarction
  • embolic occlusion
  • thrombotic infarction
  • thrombotic occlusion

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for I74 in this effective period.

Code First

Official
  • embolism and thrombosis complicating abortion or ectopic or molar pregnancy (O00-O07, O08.2)
  • embolism and thrombosis complicating pregnancy, childbirth and the puerperium (O88.-)

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for I74 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for I74 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

I74 is the ICD-10-CM diagnosis code for arterial embolism and thrombosis. I74 sits in the ICD-10-CM chapter for diseases of the circulatory system (i00-i99), within the section covering diseases of arteries, arterioles and capillaries (i70-i79).

Header codes like I74 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 I74'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 I74 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • embolic infarction
  • embolic occlusion
  • thrombotic infarction
  • thrombotic occlusion

Excludes 2, Not included here, may code separately

  • atheroembolism (I75.-)
  • basilar embolism and thrombosis (I63.0-I63.2, I65.1)
  • carotid embolism and thrombosis (I63.0-I63.2, I65.2)
  • cerebral embolism and thrombosis (I63.3-I63.5, I66.-)
  • coronary embolism and thrombosis (I21-I25)
  • mesenteric embolism and thrombosis (K55.0-)
  • ophthalmic embolism and thrombosis (H34.-)
  • precerebral embolism and thrombosis NOS (I63.0-I63.2, I65.9)
  • pulmonary embolism and thrombosis (I26.-)
  • renal embolism and thrombosis (N28.0)
  • retinal embolism and thrombosis (H34.-)
  • septic embolism and thrombosis (I76)
  • vertebral embolism and thrombosis (I63.0-I63.2, I65.0)

Code 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.-)

Child Codes

Code Hierarchy

I74Arterial embolism and thrombosis
I74Arterial embolism and thrombosis

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