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ICD-10 Guide
ICD-10 CodesI63.343

I63.343

Billable

Cerebral infarction due to thrombosis of bilateral cerebellar arteries

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

Code Description

ICD-10 I63.343 is a billable code used to indicate a diagnosis of cerebral infarction due to thrombosis of bilateral cerebellar arteries.

Key Diagnostic Point:

Cerebral infarction due to thrombosis of bilateral cerebellar arteries is a serious condition characterized by the obstruction of blood flow to the cerebellum, resulting in tissue death. The cerebellum, located at the back of the brain, is responsible for coordination, balance, and motor control. Patients may present with symptoms such as dizziness, ataxia, nausea, and difficulty with fine motor skills. The condition often arises from risk factors associated with cardiovascular diseases, including hypertension, hyperlipidemia, and diabetes. Disease progression can lead to significant neurological deficits and complications if not promptly addressed. Diagnostic considerations include neuroimaging techniques such as MRI or CT scans to identify the location and extent of the infarction. Additionally, a thorough patient history and physical examination are crucial for assessing risk factors and ruling out other potential causes of symptoms. Early intervention is vital to restore blood flow and minimize damage to the cerebellar tissue.

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 therapy, rehabilitation, and management of underlying conditions.
  • Documentation requirements: Detailed clinical notes and imaging reports are necessary.
  • Coding specificity: Requires precise coding to differentiate from other types of cerebral infarctions.

Audit Risk Factors

  • Common coding errors: Misidentification of the affected arteries or incorrect laterality.
  • Documentation gaps: Insufficient clinical details regarding the patient's history and risk factors.
  • Billing challenges: Potential denials due to lack of supporting documentation for the diagnosis.

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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Cerebral infarction due to thrombosis of bilateral cerebellar arteries has significant clinical implications, affecting patient quality of life and functional abilities. The condition contributes to the burden of neurological diseases within the population, necessitating effective management strategies to improve outcomes. Understanding the epidemiology of this condition can aid in developing targeted interventions and preventive measures, ultimately enhancing healthcare utilization and resource allocation.

ICD-9 vs ICD-10

Cerebral infarction due to thrombosis of bilateral cerebellar arteries has significant clinical implications, affecting patient quality of life and functional abilities. The condition contributes to the burden of neurological diseases within the population, necessitating effective management strategies to improve outcomes. Understanding the epidemiology of this condition can aid in developing targeted interventions and preventive measures, ultimately enhancing healthcare utilization and resource allocation.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the medical necessity for imaging and interventions is clearly documented. Common denials may arise from insufficient evidence of the bilateral nature of the infarction or lack of detailed clinical notes. Best practices include maintaining thorough records of patient assessments, treatment plans, and follow-up care to support claims and reduce audit risks.

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 I63.343?

I63.343 specifically covers cerebral infarctions resulting from thrombosis in both cerebellar arteries. It is essential to document the presence of thrombosis and the bilateral nature of the infarction to support this code.

When should I63.343 be used instead of related codes?

I63.343 should be used when there is clear evidence of bilateral cerebellar artery thrombosis leading to cerebral infarction. If the infarction is unilateral, the appropriate code for the affected side should be selected instead.

What documentation supports I63.343?

Documentation should include imaging results showing bilateral cerebellar infarction, clinical notes detailing the patient's symptoms, risk factors, and any treatments administered. A comprehensive assessment of the patient's neurological status is also critical.