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ICD-10 Guide
ICD-10 CodesI63.541

I63.541

Billable

Cerebral infarction due to unspecified occlusion or stenosis of right cerebellar artery

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

Code Description

ICD-10 I63.541 is a billable code used to indicate a diagnosis of cerebral infarction due to unspecified occlusion or stenosis of right cerebellar artery.

Key Diagnostic Point:

Cerebral infarction due to unspecified occlusion or stenosis of the right cerebellar artery refers to a condition where blood flow to the right cerebellar region of the brain is obstructed, leading to tissue death (infarction) due to lack of oxygen. The cerebellum is crucial for coordination, balance, and motor control. Clinical presentation may include symptoms such as dizziness, ataxia, nausea, and coordination difficulties. The occlusion or stenosis can result from various cardiovascular diseases, including atherosclerosis, embolism, or thrombosis. Disease progression can vary; some patients may experience transient ischemic attacks (TIAs) before a full-blown stroke occurs. Diagnostic considerations involve neuroimaging techniques like CT or MRI to visualize the infarction and assess the extent of damage. Additionally, vascular imaging may be performed to identify the occlusion or stenosis in the affected artery. Early diagnosis and intervention are critical to improving outcomes and preventing further neurological deficits.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires imaging and clinical correlation to confirm the diagnosis.
  • Treatment complexity: May involve multidisciplinary approaches including neurology, rehabilitation, and possibly surgical intervention.
  • Documentation requirements: Detailed clinical notes, imaging reports, and treatment plans are essential.
  • Coding specificity: Requires precise identification of the affected artery and the nature of the occlusion.

Audit Risk Factors

  • Common coding errors: Misidentification of the affected artery or failure to specify occlusion type.
  • Documentation gaps: Incomplete clinical notes or lack of imaging reports.
  • 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

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 infarctions, including those due to occlusion of the cerebellar arteries, significantly impact population health, contributing to morbidity and mortality associated with stroke. Quality measures focus on timely diagnosis and intervention to improve patient outcomes. Understanding the epidemiology of strokes, including risk factors such as hypertension and diabetes, is crucial for healthcare providers to implement preventive strategies and manage healthcare utilization effectively.

ICD-9 vs ICD-10

Cerebral infarctions, including those due to occlusion of the cerebellar arteries, significantly impact population health, contributing to morbidity and mortality associated with stroke. Quality measures focus on timely diagnosis and intervention to improve patient outcomes. Understanding the epidemiology of strokes, including risk factors such as hypertension and diabetes, is crucial for healthcare providers to implement preventive strategies and manage healthcare utilization effectively.

Reimbursement & Billing Impact

Reimbursement considerations may vary based on the payer, and it is advisable to stay updated on payer-specific requirements and coding updates to minimize 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 I63.541?

I63.541 covers cerebral infarction resulting from unspecified occlusion or stenosis of the right cerebellar artery, which may arise from conditions like atherosclerosis, embolism, or thrombosis. It is important to differentiate this from other types of strokes and specify the nature of the occlusion when possible.

When should I63.541 be used instead of related codes?

I63.541 should be used when there is a confirmed cerebral infarction in the right cerebellar artery but the specific cause of occlusion or stenosis is not identified. If the occlusion is specified or if it involves a different artery, then the appropriate related code should be selected.

What documentation supports I63.541?

Documentation should include a detailed clinical history, neurological examination findings, imaging results (CT or MRI), and any relevant laboratory tests that support the diagnosis of cerebral infarction due to occlusion or stenosis of the right cerebellar artery.