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ICD-10 Guide
ICD-10 CodesI63.322

I63.322

Billable

Cerebral infarction due to thrombosis of left anterior cerebral artery

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

Code Description

ICD-10 I63.322 is a billable code used to indicate a diagnosis of cerebral infarction due to thrombosis of left anterior cerebral artery.

Key Diagnostic Point:

Cerebral infarction due to thrombosis of the left anterior cerebral artery (ACA) occurs when a blood clot obstructs blood flow to the left ACA, leading to ischemia and subsequent tissue death in the affected brain region. Clinically, patients may present with unilateral weakness or paralysis, particularly affecting the contralateral leg, sensory deficits, and cognitive impairments such as aphasia or behavioral changes. The left ACA supplies the medial portions of the frontal lobes and the superior medial parietal lobes, making its infarction particularly impactful on motor and cognitive functions. Disease progression can vary; some patients may experience rapid deterioration, while others may have a more gradual onset of symptoms. Diagnostic considerations include neuroimaging, such as CT or MRI scans, to confirm the presence of an infarct and to rule out other potential causes of neurological deficits. Early recognition and intervention are crucial for improving outcomes and minimizing long-term disability.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires imaging and clinical correlation to confirm diagnosis.
  • Treatment complexity: May involve acute management with thrombolytics or anticoagulants, followed by rehabilitation.
  • Documentation requirements: Detailed clinical notes and imaging reports are essential.
  • Coding specificity: Requires precise coding to reflect the specific artery involved and the nature of the infarction.

Audit Risk Factors

  • Common coding errors: Misidentification of the affected artery or type of infarction.
  • Documentation gaps: Incomplete clinical notes or missing imaging results.
  • Billing challenges: Potential denials if documentation does not support the severity or nature of the condition.

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

Emergency Medicine

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, particularly those due to thrombosis of the left ACA, have significant clinical implications, affecting patient mobility, cognition, and overall quality of life. The population health impact is considerable, as strokes are a leading cause of disability and death worldwide. Understanding the epidemiology of this condition aids in developing targeted prevention strategies and improving healthcare utilization patterns. Quality measures focusing on timely diagnosis and intervention can enhance patient outcomes and reduce long-term healthcare costs.

ICD-9 vs ICD-10

Cerebral infarctions, particularly those due to thrombosis of the left ACA, have significant clinical implications, affecting patient mobility, cognition, and overall quality of life. The population health impact is considerable, as strokes are a leading cause of disability and death worldwide. Understanding the epidemiology of this condition aids in developing targeted prevention strategies and improving healthcare utilization patterns. Quality measures focusing on timely diagnosis and intervention can enhance patient outcomes and reduce long-term healthcare costs.

Reimbursement & Billing Impact

Reimbursement considerations include the severity of the condition and the necessity of acute interventions. Common denials may arise from insufficient documentation or lack of clarity regarding the diagnosis. It is essential to ensure that all clinical notes, imaging results, and treatment plans are well-documented to support the medical necessity of services rendered. Adhering to coding best practices, such as using the most specific code available and ensuring accurate representation of the patient's condition, can help mitigate billing challenges.

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 I63.322?

I63.322 covers cerebral infarction specifically due to thrombosis of the left anterior cerebral artery. This includes acute ischemic strokes resulting from thrombotic occlusion, leading to neurological deficits associated with the left ACA territory.

When should I63.322 be used instead of related codes?

I63.322 should be used when the infarction is confirmed to be due to thrombosis of the left ACA. It is important to differentiate it from other types of strokes, such as embolic strokes or infarctions in other cerebral arteries, to ensure accurate coding and treatment.

What documentation supports I63.322?

Documentation should include a detailed clinical assessment, imaging results confirming the infarction in the left ACA territory, and any relevant laboratory tests that support the diagnosis of thrombosis.