FY2027 ICD-10-CM reference
I76: Septic arterial embolism
By the HCC Buddy Coding Team
The official ICD-10-CM descriptor is Septic arterial embolism. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.
Billable code. Verified against the official FY2027 order file.
Oct to Dec 2026, PY2027
CMS-HCC V28
Mapped- HCC 264Vascular Disease with ComplicationsCoefficient 0.455 (CNA, PY2027)
CMS-HCC V24
Not used by CMSESRD
Mapped- HCC 107Vascular Disease with ComplicationsCoefficient 0.144 (Dialysis CE, PY2027)
RxHCC
No CMS categoryPACE (CMS-HCC V22 component)
Mapped- HCC 107Vascular Disease with Complications
PACE ESRD (ESRD V21 component)
Mapped- HCC 107Vascular Disease with Complications
PACE RxHCC (2018/2019 component)
No CMS categoryJan to Sep 2027, PY2028
CMS-HCC V28
Not published by CMSCMS-HCC V24
Not published by CMSESRD
Not published by CMSRxHCC
Not published by CMSPACE (CMS-HCC V22 component)
Not published by CMSPACE ESRD (ESRD V21 component)
Not published by CMSPACE RxHCC component
Not published by CMSOct to Dec 2026, BY2026
HHS-HCC
PendingJan to Sep 2027, BY2027
HHS-HCC
Not published by CMSFY2027 Tabular instructions
Instructions below include applicable chapter, section and parent-code notes. Each note identifies where it appears in the official source.
Excludes2
certain conditions originating in the perinatal period (P04-P96)
Source: I00-I99 (chapter, inherited).
Excludes2
certain infectious and parasitic diseases (A00-B99)
Source: I00-I99 (chapter, inherited).
Excludes2
complications of pregnancy, childbirth and the puerperium (O00-O9A)
Source: I00-I99 (chapter, inherited).
Excludes2
congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
Source: I00-I99 (chapter, inherited).
Excludes2
endocrine, nutritional and metabolic diseases (E00-E88)
Source: I00-I99 (chapter, inherited).
Excludes2
injury, poisoning and certain other consequences of external causes (S00-T88)
Source: I00-I99 (chapter, inherited).
Excludes2
neoplasms (C00-D49)
Source: I00-I99 (chapter, inherited).
Excludes2
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Source: I00-I99 (chapter, inherited).
Excludes2
systemic connective tissue disorders (M30-M36)
Source: I00-I99 (chapter, inherited).
Excludes2
transient cerebral ischemic attacks and related syndromes (G45.-)
Source: I00-I99 (chapter, inherited).
Code first
underlying infection, such as:
Source: I76 (category, direct).
Code first
infective endocarditis (I33.0)
Source: I76 (category, direct).
Code first
lung abscess (J85.-)
Source: I76 (category, direct).
Instructional note
code to identify the site of the embolism (I74.-)
Source: I76 (category, direct).
Excludes2
septic pulmonary embolism (I26.01, I26.90)
Source: I76 (category, direct).
Compare the FY2027 additions, removals and billable-status changes
What does I76 mean in FY2027?
The official ICD-10-CM descriptor is Septic arterial embolism. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.
Is I76 billable in FY2027?
The FY2027 order file marks I76 as billable. Check the complete Tabular instructions and documentation before assigning it.
Does I76 map to an HCC?
Oct to Dec 2026, PY2027: CMS-HCC V28 HCC 264 (Vascular Disease with Complications); CMS-HCC V24: Not used by CMS; ESRD HCC 107 (Vascular Disease with Complications); RxHCC: No CMS category. Jan to Sep 2027, PY2028: CMS-HCC V28: Not published by CMS; CMS-HCC V24: Not published by CMS; ESRD: Not published by CMS; RxHCC: Not published by CMS. Oct to Dec 2026, BY2026: HHS-HCC: Pending. Jan to Sep 2027, BY2027: HHS-HCC: Not published by CMS. Base coefficients are reference values, not a member total.
Source: CMS FY2027 ICD-10-CM order file. Payment model: CMS CY 2027 Rate Announcement. Read the FY2027 Official Guidelines.
Review the FY2026 April edition