I74 ICD-10-CM Code: Arterial embolism and thrombosis
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) / Diseases of arteries, arterioles and capillaries (I70-I79)
I74
Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidanceArterial 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
Inclusion Terms
OfficialICD-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
Includes
Official- embolic infarction
- embolic occlusion
- thrombotic infarction
- thrombotic occlusion
Excludes 1
OfficialICD-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
OfficialICD-10-CM does not list Use Additional Code instructions for I74 in this effective period.
Code Also
OfficialICD-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)