ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 I46

Non-Billable Header

Cardiac arrest

I46
Block
0
Synonyms
0
LCDs
0
Payer Policies
3
Linked CPTs

About ICD-10-CM I46

ICD-10-CM code I46 represents Cardiac arrest. This is a non-billable header code in the Circulatory System chapter (block I46). The 2026 edition of ICD-10-CM I46 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.

Type 2 Excludes

Not included here, the excluded code is not part of I46, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.

  • cardiogenic shock (R57.0)

Medicare LCD Coverage for I46

Local Coverage Determinations (LCDs) from CMS MACs that list I46 as a covered diagnosis.

No Medicare LCDs reference I46 as covered

This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.

Commercial Payer Coverage

Coverage policies from major commercial payers referencing I46.

No commercial payer policies reference I46 on file

Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but I46 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.

CPT Codes Commonly Billed with I46

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

3 linkages
  • 93010 Exercise stress test for chest pain evaluation Internal Medicine
  • 93613 Cardiac resynchronization therapy for heart failure Cardiovascular Disease
  • 93616 Cardiac catheterization for chest pain evaluation Cardiovascular Disease

ICD-10 I46, Billing FAQ

Is ICD-10 code I46 billable? +

No, I46 is a non-billable header code. Use a more specific child code from block I46 when submitting claims.

What codes are Type 2 Excludes for I46? +

Type 2 Excludes (may be coded together when both conditions exist): cardiogenic shock (R57.0)

What CPT codes are commonly billed with I46? +

Procedures frequently paired with I46 include: 93010, 93613, 93616.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 2, 2026.

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