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ICD-10 Guide
ICD-10 CodesI63.349

I63.349

Billable

Cerebral infarction due to thrombosis of unspecified cerebellar artery

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

Code Description

ICD-10 I63.349 is a billable code used to indicate a diagnosis of cerebral infarction due to thrombosis of unspecified cerebellar artery.

Key Diagnostic Point:

Cerebral infarction due to thrombosis of an unspecified cerebellar artery is a type of stroke that occurs when a blood clot obstructs blood flow to the cerebellum, an area of the brain responsible for coordination and balance. Clinically, patients may present with symptoms such as dizziness, ataxia, nausea, and difficulty with fine motor skills. The cerebellar arteries, which branch from the vertebral and basilar arteries, supply blood to the cerebellum, and thrombosis can lead to ischemic damage. Disease progression can vary; some patients may recover fully, while others may experience long-term deficits or complications such as recurrent strokes. Diagnostic considerations include neuroimaging (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 evaluation to confirm diagnosis.
  • Treatment complexity: Management may involve anticoagulation, rehabilitation, and addressing risk factors.
  • Documentation requirements: Detailed clinical notes and imaging reports are necessary.
  • Coding specificity: Requires precise identification of the affected artery and type of infarction.

Audit Risk Factors

  • Common coding errors: Misidentification of the specific artery or type of infarction.
  • Documentation gaps: Incomplete clinical notes or lack of imaging results.
  • Billing challenges: Potential denials due to insufficient documentation or unclear 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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Cerebral infarctions due to thrombosis of the cerebellar artery significantly impact patient health, leading to potential long-term disabilities and increased healthcare utilization. Understanding the epidemiology of strokes, particularly in populations with high risk factors, is crucial for developing preventive strategies. Quality measures focusing on timely diagnosis and treatment can improve outcomes and reduce the burden of stroke-related complications on healthcare systems.

ICD-9 vs ICD-10

Cerebral infarctions due to thrombosis of the cerebellar artery significantly impact patient health, leading to potential long-term disabilities and increased healthcare utilization. Understanding the epidemiology of strokes, particularly in populations with high risk factors, is crucial for developing preventive strategies. Quality measures focusing on timely diagnosis and treatment can improve outcomes and reduce the burden of stroke-related complications on healthcare systems.

Reimbursement & Billing Impact

Reimbursement considerations include the patient's insurance coverage and the necessity of the services provided. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. Best practices include ensuring that all clinical notes are complete and that the coding accurately reflects the diagnosis and treatment provided. Regular audits and training on coding updates 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 I63.349?

I63.349 covers cerebral infarctions specifically due to thrombosis of an unspecified cerebellar artery. This includes ischemic strokes where the cerebellum is affected, leading to symptoms related to coordination and balance.

When should I63.349 be used instead of related codes?

I63.349 should be used when the specific cerebellar artery involved is not documented. If the artery is specified, a more specific code should be selected, such as I63.341 for the right cerebellar artery.

What documentation supports I63.349?

Documentation should include clinical findings, imaging results confirming the infarction, and a thorough assessment of risk factors. Detailed notes on the patient's symptoms and response to treatment are also essential.