ICD-10 Code I26.92 – Saddle embolus of pulmonary artery without acute cor pulmonale (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code I26.92 – Saddle embolus of pulmonary artery without acute cor pulmonale
What it is
I26.92 identifies a saddle pulmonary embolus, meaning a blood clot lodged at the bifurcation of the main pulmonary artery. It is coded when acute cor pulmonale is not documented.
Clinical signs
Patients may present with sudden shortness of breath, chest pain, cough, syncope, or signs of pulmonary embolism. Imaging or other diagnostic evidence should support the diagnosis; clinical features vary, refer to documentation.
When to use this code
Use I26.92 when the provider documents a saddle embolus of the pulmonary artery and does not state acute cor pulmonale. Apply it for confirmed pulmonary embolism involving the central bifurcation, even if the patient is stable. If the record is unclear, check documentation.
Do not use for
Do not use this code if acute cor pulmonale is documented; a different code applies. Do not assign it for nonspecific suspected embolism or for emboli in other vessels.
Coding tip
Verify both the clot location and whether acute cor pulmonale is present before coding.