Cerebral infarction due to embolism of anterior cerebral artery
ICD-10 I63.42 is a used to indicate a diagnosis of cerebral infarction due to embolism of anterior cerebral artery.
Cerebral infarction due to embolism of the anterior cerebral artery (ACA) occurs when a blood clot or other debris travels through the bloodstream and lodges in the ACA, leading to a reduction or cessation of blood flow to the brain tissue supplied by this artery. Clinically, patients may present with sudden onset of neurological deficits, including weakness or paralysis on one side of the body, sensory loss, speech difficulties, and cognitive impairments. The ACA supplies the medial portions of the frontal lobes and the superior medial parietal lobes, which are critical for motor control and sensory processing. Disease progression can vary; some patients may experience transient ischemic attacks (TIAs) prior to a full-blown infarction, while others may have a more insidious onset. Diagnostic considerations include neuroimaging techniques such as CT or MRI to visualize the infarct and assess the extent of brain damage. Additionally, vascular imaging may be performed to identify the source of the embolism, which could be cardiac in origin or due to atherosclerotic disease.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
I63.42 specifically covers cerebral infarctions resulting from embolisms that occlude the anterior cerebral artery. This includes emboli originating from cardiac sources, such as atrial fibrillation, or from atherosclerotic plaques that dislodge and travel to the ACA.
I63.42 should be used when the cerebral infarction is confirmed to be due to an embolic event affecting the anterior cerebral artery. It is distinct from I63.41, which is used for thrombosis, and requires documentation of the embolic source.
Documentation should include clinical findings, imaging results confirming the infarction, and any relevant history of embolic sources, such as cardiac conditions or prior TIAs. Detailed notes on the patient's neurological status and treatment plan are also essential.
