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ICD-10 Guide
ICD-10 CodesI63.33

I63.33

Non-billable

Cerebral infarction due to thrombosis of posterior cerebral artery

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

Code Description

ICD-10 I63.33 is a used to indicate a diagnosis of cerebral infarction due to thrombosis of posterior cerebral artery.

Key Diagnostic Point:

Cerebral infarction due to thrombosis of the posterior cerebral artery is a type of ischemic stroke that occurs when a blood clot obstructs blood flow in the posterior cerebral artery (PCA), which supplies blood to the occipital lobe and parts of the temporal lobe. Clinically, patients may present with sudden onset of visual disturbances, such as homonymous hemianopia, and may experience sensory deficits or cognitive changes depending on the extent of the infarction. The PCA is crucial for visual processing, and infarction in this area can lead to significant neurological deficits. Disease progression can vary; some patients may recover partially or fully, while others may experience long-term disability. Diagnostic considerations include neuroimaging techniques 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, and hyperlipidemia 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 anticoagulation, rehabilitation, and management of risk factors.
  • Documentation requirements: Detailed clinical notes and imaging reports are essential.
  • Coding specificity: Requires accurate identification of the site and cause of the infarction.

Audit Risk Factors

  • Common coding errors: Misidentifying the type of stroke or the artery involved.
  • Documentation gaps: Incomplete clinical notes or lack of imaging results.
  • Billing challenges: Potential denials due to insufficient documentation or incorrect coding.

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 due to thrombosis of the posterior cerebral artery significantly impact patient quality of life and healthcare utilization. They contribute to long-term disability and increased healthcare costs due to rehabilitation needs. Understanding the epidemiology of this condition helps in developing targeted prevention strategies, particularly in populations with high risk factors such as hypertension and diabetes.

ICD-9 vs ICD-10

Cerebral infarctions due to thrombosis of the posterior cerebral artery significantly impact patient quality of life and healthcare utilization. They contribute to long-term disability and increased healthcare costs due to rehabilitation needs. Understanding the epidemiology of this condition helps in developing targeted prevention strategies, particularly in populations with high risk factors such as hypertension and diabetes.

Reimbursement & Billing Impact

Reimbursement considerations include the severity of the stroke and the associated care provided. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity for imaging studies. Best practices include ensuring that all clinical notes are complete and that the rationale for the selected treatment is clearly articulated in the medical record.

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 I63.33?

I63.33 specifically covers cerebral infarctions resulting from thrombosis of the posterior cerebral artery. This includes ischemic strokes that lead to neurological deficits primarily affecting visual processing and sensory functions.

When should I63.33 be used instead of related codes?

I63.33 should be used when the cerebral infarction is specifically due to thrombosis of the posterior cerebral artery, distinguishing it from other types of strokes such as those due to embolism or occlusion of different arteries.

What documentation supports I63.33?

Documentation should include clinical findings, imaging results confirming the infarction in the posterior cerebral artery, and a detailed account of the patient's symptoms and risk factors.