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    v1.0.28
    OpenPayerBilling CodesOther forms of heart diseaseICD-10-CM i46-cardiac-arrest
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    ICD-10-CM Code For Cardiac Arrest: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group I46 includes diagnoses for cardiac arrest, covering sudden cessation of cardiac activity from various etiologies such as ventricular fibrillation, asystole, and other unspecified arrests. These ICD-10-CM diagnosis codes are used to document clinical scenarios of circulatory collapse requiring resuscitation, capturing severity, rhythm-related findings, and context such as location of the event. Accurate coding within the ICD-10-CM I46 group supports proper claim adjudication and complete clinical documentation for appropriate reimbursement.

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    ICD-10-CM I46: Cardiac Arrest Overview

    The diagnoses in this group represent cardiac arrest events characterized by sudden cessation of cardiac mechanical activity and loss of effective circulation, affecting the cardiovascular system. These codes capture cardiac arrest of various etiologies and circumstances, including out-of-hospital and in-hospital events. Accurate coding is important for complete clinical documentation and affects reimbursement through appropriate claim adjudication.

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    When to Use

    Use a code from this group when documenting an encounter where the patient experienced cardiac arrest, whether in-hospital or out-of-hospital, and when resuscitative measures were required. Select the code that best reflects the documented rhythm, cause, and location of the event to accurately represent the clinical scenario.

    ICD-10-CM Codes

    3 rows

    ICD-10-CM CodeDescription
    I46.2Cardiac arrest due to underlying cardiac condition
    I46.8Cardiac arrest due to other underlying condition
    I46.9Cardiac arrest, cause unspecified

    DRG Codes

    5 rows

    DRG CodeDescription
    296Cardiac Arrest, Unexplained with MCC
    297Cardiac Arrest, Unexplained with CC
    298Cardiac Arrest, Unexplained without CC/MCC
    791Prematurity with Major Problems
    793Full Term Neonate with Major Problems

    Typical Clinical Scenarios

    • An adult is brought to the emergency department after being found pulseless and unresponsive at home; bystander CPR was performed and advanced cardiac life support is initiated with return of spontaneous circulation in the ED. This is an acute out-of-hospital cardiac arrest presenting as a sudden loss of circulation requiring resuscitation, and a code from this group is assigned to capture the arrest event and immediate management. Typical codes: I46.9.
    • A hospitalized patient recovering from a massive myocardial infarction develops sudden hemodynamic collapse with ventricular fibrillation; despite rapid defibrillation and resuscitative efforts, the event is recorded as an in-hospital cardiac arrest during the admission for acute ischemic heart disease. This represents a cardiac arrest occurring as a complication of another primary cardiac condition during the same hospitalization, and a specific code from this group is used to document the arrest. Typical codes: I46.2, I46.9.
    • An elderly nursing home resident with end-stage heart failure experiences a brief, self-limited episode of pulselessness during transfer to hospital, is resuscitated quickly, and later is found to have non-cardiac causes contributing such as severe electrolyte disturbance. This scenario captures a cardiac arrest event in a frail patient with multiple comorbidities where the arrest may be secondary to reversible metabolic causes; a code from this group is assigned to record the arrest as part of the overall clinical picture. Typical codes: I46.8, I46.9.

    Related Codes

    I30-ACUTE-PERICARDITIS

    ICD-10-CM Code For Acute Pericarditis: Group Overview

    I31-OTHER-DISEASES-OF-PERICARDIUM

    ICD-10-CM Code For Other Diseases Of Pericardium: Group Overview

    I32-PERICARDITIS-IN-DISEASES-CLASSIFIED-ELSEWHERE

    ICD-10-CM Code For Pericarditis In Diseases Classified Elsewhere: Group Overview

    I33-ACUTE-AND-SUBACUTE-ENDOCARDITIS

    ICD-10-CM Code For Acute And Subacute Endocarditis: Group Overview

    I34-NONRHEUMATIC-MITRAL-VALVE-DISORDERS

    ICD-10-CM Code For Nonrheumatic Mitral Valve Disorders: Group Overview

    I35-NONRHEUMATIC-AORTIC-VALVE-DISORDERS

    ICD-10-CM Code For Nonrheumatic Aortic Valve Disorders: Group Overview

    I36-NONRHEUMATIC-TRICUSPID-VALVE-DISORDERS

    ICD-10-CM Code For Nonrheumatic Tricuspid Valve Disorders: Group Overview

    I37-NONRHEUMATIC-PULMONARY-VALVE-DISORDERS

    ICD-10-CM Code For Nonrheumatic Pulmonary Valve Disorders: Group Overview

    I38-ENDOCARDITIS-VALVE-UNSPECIFIED

    ICD-10-CM Code For Endocarditis Valve Unspecified: Group Overview

    I39-ENDOCARDITIS-AND-HEART-VALVE-DISORDERS

    ICD-10-CM Code For Endocarditis And Heart Valve Disorders In Diseases Classified Elsewhere: Group Overview

    Showing 1–10 of 23

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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