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ICD-10 Guide
ICD-10 CodesI63.2

I63.2

Non-billable

Cerebral infarction due to unspecified occlusion or stenosis of precerebral arteries

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

Code Description

ICD-10 I63.2 is a used to indicate a diagnosis of cerebral infarction due to unspecified occlusion or stenosis of precerebral arteries.

Key Diagnostic Point:

Cerebral infarction due to unspecified occlusion or stenosis of precerebral arteries refers to a type of stroke that occurs when blood flow to a part of the brain is interrupted due to blockage or narrowing of the arteries supplying the brain. The precerebral arteries include the carotid arteries and their branches, which are crucial for delivering oxygenated blood to the brain. Clinical presentation may include sudden onset of neurological deficits such as weakness, speech difficulties, or loss of coordination. Disease progression can vary, with some patients experiencing transient ischemic attacks (TIAs) prior to a full-blown stroke. Diagnostic considerations involve imaging studies such as CT or MRI scans to confirm the infarction and assess the extent of brain damage. Additionally, Doppler ultrasound may be utilized to evaluate blood flow in the carotid arteries. Understanding the underlying cardiovascular risk factors, such as hypertension, diabetes, and hyperlipidemia, is essential for comprehensive management and prevention of future strokes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors
  • Documentation gaps
  • Billing challenges

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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Cerebral infarctions significantly impact population health, contributing to morbidity and mortality rates associated with stroke. Understanding the epidemiology of I63.2 helps in identifying at-risk populations and implementing preventive measures. Quality measures related to stroke care, such as timely intervention and rehabilitation, are essential for improving healthcare outcomes and reducing long-term disability.

ICD-9 vs ICD-10

Cerebral infarctions significantly impact population health, contributing to morbidity and mortality rates associated with stroke. Understanding the epidemiology of I63.2 helps in identifying at-risk populations and implementing preventive measures. Quality measures related to stroke care, such as timely intervention and rehabilitation, are essential for improving healthcare outcomes and reducing long-term disability.

Reimbursement & Billing Impact

Reimbursement considerations may vary based on the payer, but comprehensive documentation can mitigate common denials. Common challenges include ensuring the specificity of the diagnosis and correlating it with the services provided. Coders should be aware of the need for clear links between the diagnosis and the treatment rendered to avoid billing discrepancies.

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 I63.2?

I63.2 covers cerebral infarctions resulting from unspecified occlusion or stenosis of precerebral arteries, which may include conditions like carotid artery stenosis or other vascular abnormalities that lead to reduced blood flow to the brain.

When should I63.2 be used instead of related codes?

I63.2 should be used when the specific cause of the cerebral infarction is not clearly defined as embolism or thrombosis, and when the occlusion or stenosis is not specified, making it distinct from codes I63.1 and I63.3.

What documentation supports I63.2?

Documentation should include clinical findings, imaging results confirming cerebral infarction, and any relevant history of vascular disease or risk factors. Clear notes on the absence of specific occlusion or stenosis details are also necessary.