Cerebral infarction due to embolism of bilateral carotid arteries
ICD-10 I63.133 is a billable code used to indicate a diagnosis of cerebral infarction due to embolism of bilateral carotid arteries.
Cerebral infarction due to embolism of bilateral carotid arteries is a serious condition characterized by the obstruction of blood flow to the brain caused by an embolus originating from the carotid arteries. The carotid arteries, located on either side of the neck, supply blood to the brain, face, and neck. When an embolus, which can be a blood clot or other debris, lodges in these arteries, it can lead to ischemia and subsequent infarction of brain tissue. Clinically, patients may present with sudden onset of neurological deficits, including weakness, speech difficulties, visual disturbances, and altered consciousness, depending on the area of the brain affected. The disease progression can vary; some patients may experience transient ischemic attacks (TIAs) before a full-blown stroke occurs. Diagnostic considerations include imaging studies such as CT or MRI to confirm the presence of infarction and Doppler ultrasound to assess carotid artery patency. Timely intervention is 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
I63.133 specifically covers cerebral infarction resulting from embolism originating from both carotid arteries. This includes conditions where emboli may arise from atherosclerosis, cardiac sources, or other vascular issues affecting the carotids.
I63.133 should be used when there is clear evidence of bilateral carotid artery involvement leading to cerebral infarction. If the embolism is unilateral or due to other causes, different codes such as I63.131 or I63.9 should be considered.
Documentation should include a detailed clinical assessment, imaging results confirming cerebral infarction, and evidence of embolism from bilateral carotid arteries. Notes should also reflect the patient's symptoms and any interventions performed.
