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v1.0.0
ICD-10 Guide
ICD-10 CodesI63.0

I63.0

Non-billable

Cerebral infarction due to thrombosis of precerebral arteries

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 I63.0 is a used to indicate a diagnosis of cerebral infarction due to thrombosis of precerebral arteries.

Key Diagnostic Point:

Cerebral infarction due to thrombosis of precerebral arteries refers to a type of ischemic stroke that occurs when a blood clot forms in the arteries supplying blood to the brain, specifically the carotid arteries or their branches. Clinically, patients may present with sudden onset of neurological deficits, which can include weakness, speech difficulties, and sensory loss, depending on the area of the brain affected. The anatomy involved primarily includes the internal carotid arteries and their branches, which are crucial for cerebral perfusion. Disease progression can vary; if not promptly treated, it may lead to irreversible brain damage and significant morbidity. Diagnostic considerations include neuroimaging studies such as CT or MRI to confirm the presence of an infarct and to rule out hemorrhagic stroke. Additionally, vascular imaging may be necessary to identify the location and extent of the thrombosis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires imaging and clinical assessment to confirm diagnosis.
  • Treatment complexity: May involve acute management with thrombolytics or anticoagulants, and long-term management of risk factors.
  • Documentation requirements: Detailed clinical notes and imaging results are essential for accurate coding.
  • Coding specificity: Requires precise documentation of the type of stroke and its etiology.

Audit Risk Factors

  • Common coding errors: Misclassification of stroke type or etiology.
  • Documentation gaps: Incomplete clinical notes regarding the onset and nature of symptoms.
  • Billing challenges: Potential denials if documentation does not support the diagnosis.

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Cardiology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Cerebral infarction due to thrombosis of precerebral arteries has significant clinical implications, as it is a leading cause of disability and mortality worldwide. Understanding the epidemiology of this condition is essential for population health management, as it affects a substantial portion of the aging population. Quality measures related to timely diagnosis and treatment can improve outcomes and reduce healthcare utilization, emphasizing the importance of effective stroke management protocols.

ICD-9 vs ICD-10

Cerebral infarction due to thrombosis of precerebral arteries has significant clinical implications, as it is a leading cause of disability and mortality worldwide. Understanding the epidemiology of this condition is essential for population health management, as it affects a substantial portion of the aging population. Quality measures related to timely diagnosis and treatment can improve outcomes and reduce healthcare utilization, emphasizing the importance of effective stroke management protocols.

Reimbursement & Billing Impact

Reimbursement considerations include the need for thorough documentation of the clinical presentation, imaging studies, and treatment plans. Common denials may arise from insufficient documentation or misclassification of the stroke type. Best practices include maintaining clear and detailed clinical notes, ensuring that all relevant tests are documented, and using the appropriate modifiers when necessary to avoid billing issues.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for I00-I99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for I00-I99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by I63.0?

I63.0 specifically covers cerebral infarctions resulting from thrombosis in the precerebral arteries, which includes conditions like carotid artery thrombosis leading to ischemic strokes.

When should I63.0 be used instead of related codes?

I63.0 should be used when the infarction is specifically due to thrombosis in the precerebral arteries, as opposed to embolic strokes or other causes of cerebral infarction.

What documentation supports I63.0?

Documentation should include clinical findings, imaging results confirming the infarction, and details on the thrombosis location and any relevant risk factors.