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ICD-10 Guide
ICD-10 CodesI63.329

I63.329

Billable

Cerebral infarction due to thrombosis of unspecified anterior cerebral artery

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

Code Description

ICD-10 I63.329 is a billable code used to indicate a diagnosis of cerebral infarction due to thrombosis of unspecified anterior cerebral artery.

Key Diagnostic Point:

Cerebral infarction due to thrombosis of an unspecified anterior cerebral artery is a type of ischemic stroke that occurs when a blood clot obstructs blood flow to a part of the brain supplied by the anterior cerebral artery (ACA). The ACA is responsible for supplying blood to the medial portions of the frontal lobes and the superior medial parietal lobes. Clinical presentation may include sudden onset of weakness or paralysis, particularly affecting the lower limbs, changes in speech, and cognitive deficits. The progression of the disease can vary; some patients may experience rapid deterioration, while others may have a more gradual onset of symptoms. Diagnostic considerations include neuroimaging studies such as CT or MRI to confirm the presence of an infarct and to rule out hemorrhagic stroke. Additionally, risk factors such as hypertension, diabetes, hyperlipidemia, and smoking should be assessed to guide management and prevention strategies.

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, followed by rehabilitation.
  • Documentation requirements: Detailed documentation of clinical findings, imaging results, and treatment plans is necessary.
  • Coding specificity: Requires precise identification of the affected artery and type of infarction.

Audit Risk Factors

  • Common coding errors: Misidentification of the affected artery or incorrect use of unspecified codes.
  • Documentation gaps: Incomplete clinical notes or lack of imaging results can lead to coding inaccuracies.
  • Billing challenges: Potential denials if documentation does not support the diagnosis or if the code is not specific enough.

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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Cerebral infarction due to thrombosis significantly impacts population health, contributing to morbidity and mortality rates associated with stroke. It is a leading cause of long-term disability, affecting healthcare utilization patterns as patients often require extensive rehabilitation and follow-up care. Quality measures focus on timely diagnosis and treatment to improve outcomes and reduce the burden on healthcare systems.

ICD-9 vs ICD-10

Cerebral infarction due to thrombosis significantly impacts population health, contributing to morbidity and mortality rates associated with stroke. It is a leading cause of long-term disability, affecting healthcare utilization patterns as patients often require extensive rehabilitation and follow-up care. Quality measures focus on timely diagnosis and treatment to improve outcomes and reduce the burden on healthcare systems.

Reimbursement & Billing Impact

Reimbursement considerations include the severity of the stroke, the complexity of treatment, and the need for rehabilitation services. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity for imaging and treatment. Best practices include ensuring that all clinical notes are complete and that imaging studies are clearly linked to the diagnosis.

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 I63.329?

I63.329 covers cerebral infarction due to thrombosis affecting the anterior cerebral artery, specifically when the exact artery involved is not specified. It includes ischemic strokes resulting from thrombosis, which may present with varying neurological deficits.

When should I63.329 be used instead of related codes?

I63.329 should be used when the specific anterior cerebral artery involved is not documented. If the documentation specifies the artery, a more specific code should be selected, such as I63.311 for the right anterior cerebral artery.

What documentation supports I63.329?

Documentation should include clinical findings, imaging results confirming the cerebral infarction, and a clear treatment plan. Notes should detail the onset of symptoms, risk factors, and any interventions performed.