ICDcodes.org
FY2027

Z86.74Personal history of sudden cardiac arrest

Billable

Is Z86.74 billable?

Yes — Z86.74 is billable for FY2027. Z86.74 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z86.74 may be submitted for encounters from October 1, 2026 through September 30, 2027.

Z86.74 at a glance

CodeZ86.74
DescriptionPersonal history of sudden cardiac arrest
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

What Medicare edits apply to Z86.74?

The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z86.74 directly.

Cannot be a principal diagnosis — MCE edit 9

CMS will reject this code as the principal diagnosis on an inpatient claim. It describes something other than the condition chiefly responsible for the admission.

Which MS-DRGs does Z86.74 group to?

Z86.74 sits in MDC 23 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 951Other Factors Influencing Health Statusmedical

How is Z86.74 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to Z86.74. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Arrest, arrestedcardiacpersonal history, successfully resuscitated
  • Deathcardiacpersonal history of (cause unknown) (of) (unexplained) (unspecified cause)
  • Historypersonalcardiac arrest, successfully resuscitated
  • Historypersonalsudden cardiac arrest
  • Historypersonalsudden cardiac death successfully resuscitated

Inclusion terms

Alternative wording in documentation that is classified to Z86.74.

  • Personal history of sudden cardiac death successfully resuscitated

Code first — inherited from Z86

The underlying condition below must be sequenced before Z86.74. Z86.74 describes a manifestation and cannot be the principal or first-listed diagnosis.

  • any follow-up examination after treatment (Z09)

Excludes2 — not included here — inherited from Z86.7

The conditions below are not part of Z86.74, but a patient may have both at the same time. When documentation supports it, Z86.74 and the excluded code may both be reported.

  • old myocardial infarction (I25.2)
  • personal history of anaphylactic shock (Z87.892)
  • postmyocardial infarction syndrome (I24.1)

Code also — inherited from Z77-Z99

Two codes may be needed to describe the condition fully. Whether Z86.74 is sequenced first depends on the reason for the encounter.

  • any follow-up examination (Z08-Z09)

How long has Z86.74 existed?

Z86.74 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

Which conditions are coded to Z86.74?

What other codes are in the Z86.7 family? (4)