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

ICD-10 Z86.74

Billable / Specific

Personal history of sudden cardiac arrest

Z86
Block
1
Synonyms
423
LCDs
22
Payer Policies
29
Linked CPTs

About ICD-10-CM Z86.74

ICD-10-CM code Z86.74 represents Personal history of sudden cardiac arrest. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z86). The 2026 edition of ICD-10-CM Z86.74 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under Z86.74. Per CMS ICD-10-CM Tabular 2026.

  • Personal history of sudden cardiac death successfully resuscitated

Medicare LCD Coverage for Z86.74

Local Coverage Determinations (LCDs) from CMS MACs that list Z86.74 as a covered diagnosis.

423 LCDs

Showing top 10 of 423 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93270 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93298 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93225 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93271 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93246 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93272 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93242 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93228 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 0938T →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 0937T →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing Z86.74.

22 policies

1 Cigna

Transthoracic Echocardiography in Adults - (0510)
Policy ID: MM_0510

5 Medicare

Billing and Coding: Implantable Automatic Defibrillators
Policy ID: ART-56326
Billing and Coding: Implantable Automatic Defibrillators
Policy ID: ART-56340
Billing and Coding: Implantable Automatic Defibrillators
Policy ID: ART-56343
Billing and Coding: Implantable Automatic Defibrillators
Policy ID: ART-56391
Billing and Coding: Transesophageal Echocardiography (TEE)
Policy ID: ART-56505

CPT Codes Commonly Billed with Z86.74

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

29 linkages
  • G0448 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33216 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33230 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33244 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33264 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33263 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33220 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33224 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33270 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33272 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD

Convert Z86.74 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
Z86.74 V1253 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To Z86.74

Other codes in section Z77-Z99 (Persons with potential health hazards related to family and personal history and certain conditions influencing health status).

Z77 Other contact with and (suspected) exposures hazardous to health (non-billable) Z77.0 Contact with and (suspected) exposure to hazardous, chiefly nonmedicinal, chemicals (non-billable) Z77.01 Contact with and (suspected) exposure to hazardous metals (non-billable) Z77.010 Contact with and (suspected) exposure to arsenic Z77.011 Contact with and (suspected) exposure to lead Z77.012 Contact with and (suspected) exposure to uranium Z77.018 Contact with and (suspected) exposure to other hazardous metals Z77.02 Contact with and (suspected) exposure to hazardous aromatic compounds (non-billable) Z77.020 Contact with and (suspected) exposure to aromatic amines Z77.021 Contact with and (suspected) exposure to benzene Z77.028 Contact with and (suspected) exposure to other hazardous aromatic compounds Z77.09 Contact with and (suspected) exposure to other hazardous, chiefly nonmedicinal, chemicals (non-billable) Z77.090 Contact with and (suspected) exposure to asbestos Z77.098 Contact with and (suspected) exposure to other hazardous, chiefly nonmedicinal, chemicals Z77.1 Contact with and (suspected) exposure to environmental pollution and hazards in the physical environment (non-billable) Z77.11 Contact with and (suspected) exposure to environmental pollution (non-billable) Z77.110 Contact with and (suspected) exposure to air pollution Z77.111 Contact with and (suspected) exposure to water pollution Z77.112 Contact with and (suspected) exposure to soil pollution Z77.118 Contact with and (suspected) exposure to other environmental pollution

ICD-10 Z86.74, Billing FAQ

Is ICD-10 code Z86.74 billable? +

Yes, Z86.74 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to Z86.74? +

ICD-10 Z86.74 includes: Personal history of sudden cardiac death successfully resuscitated.

What CPT codes are commonly billed with Z86.74? +

Procedures frequently paired with Z86.74 include: G0448, 33216, 33230, 33244, 33264.

What ICD-9 codes does Z86.74 map to? +

Per CMS GEMs, Z86.74 maps to ICD-9 codes: V1253. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on July 16, 2026.

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