Cerebral infarction due to embolism of right middle cerebral artery
ICD-10 I63.411 is a billable code used to indicate a diagnosis of cerebral infarction due to embolism of right middle cerebral artery.
Cerebral infarction due to embolism of the right middle cerebral artery (MCA) occurs when a blood clot or other debris travels through the bloodstream and lodges in the MCA, leading to a disruption of blood flow to the brain tissue supplied by this artery. Clinically, patients may present with sudden onset of neurological deficits, including weakness or paralysis on the contralateral side of the body, speech difficulties, and sensory loss. The right MCA supplies a significant portion of the lateral aspect of the cerebral hemisphere, and infarction in this area can result in specific deficits such as neglect or inattention to the left side of the body. Disease progression can vary; some patients may experience transient ischemic attacks (TIAs) prior to a full-blown stroke, while others may have a sudden onset without warning. Diagnostic considerations include neuroimaging techniques such as CT or MRI to confirm the presence of an infarct and to rule out hemorrhagic stroke. Additionally, vascular imaging may be performed to identify the source of the embolism, which could be cardiac or from atherosclerotic disease.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
I63.411 specifically covers cerebral infarction due to embolism affecting the right middle cerebral artery. This includes ischemic strokes resulting from embolic events originating from the heart or other vascular sources.
I63.411 should be used when the cerebral infarction is confirmed to be due to embolism specifically in the right middle cerebral artery, differentiating it from other types of strokes or infarctions affecting different arteries.
Documentation should include clinical findings, imaging results confirming the infarction, and notes indicating the cause of the embolism. Detailed neurological assessments and treatment plans are also critical.
