Cerebral infarction due to thrombosis of bilateral carotid arteries
ICD-10 I63.033 is a billable code used to indicate a diagnosis of cerebral infarction due to thrombosis of bilateral carotid arteries.
Cerebral infarction due to thrombosis of bilateral carotid arteries is a serious condition characterized by the obstruction of blood flow to the brain resulting from a thrombus (blood clot) that forms in the carotid arteries. The carotid arteries, located on either side of the neck, supply blood to the brain, neck, and face. When thrombosis occurs bilaterally, it can lead to significant ischemia, resulting in a cerebral infarction, which manifests as a stroke. Clinical presentation may include sudden onset of neurological deficits such as weakness, speech difficulties, and loss of coordination. The progression of the disease can vary; some patients may experience transient ischemic attacks (TIAs) prior to a full-blown stroke, while others may present with acute symptoms. Diagnostic considerations include imaging studies such as CT or MRI to confirm the presence of infarction and Doppler ultrasound to assess blood flow in the carotid arteries. Timely diagnosis and intervention are crucial to minimize brain damage and improve outcomes.
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
I63.033 specifically covers cerebral infarction resulting from thrombosis in both carotid arteries, leading to ischemic stroke. It does not include strokes caused by embolism or hemorrhage.
I63.033 should be used when there is clear evidence of bilateral carotid artery thrombosis leading to cerebral infarction. If only one carotid artery is involved, the appropriate unilateral code should be selected.
Documentation should include clinical findings, imaging results confirming bilateral carotid artery thrombosis, and details of neurological deficits observed during the patient’s examination.
