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ICD-10 Guide
ICD-10 CodesI63.59

I63.59

Billable

Cerebral infarction due to unspecified occlusion or stenosis of other cerebral artery

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

Code Description

ICD-10 I63.59 is a billable code used to indicate a diagnosis of cerebral infarction due to unspecified occlusion or stenosis of other cerebral artery.

Key Diagnostic Point:

Cerebral infarction due to unspecified occlusion or stenosis of other cerebral artery refers to a type of stroke resulting from the obstruction of blood flow to the brain, specifically affecting arteries other than the major cerebral arteries. This condition can arise from various etiologies, including embolism or thrombosis, leading to ischemia and subsequent brain tissue death. Clinically, patients may present with sudden onset of neurological deficits, such as weakness, speech difficulties, or visual disturbances, depending on the affected brain region. The anatomy involved typically includes smaller cerebral arteries that branch off from larger vessels, which may become narrowed (stenosed) or blocked (occluded) due to atherosclerosis or other vascular diseases. Disease progression can vary; some patients may recover partially or fully, while others may experience long-term disabilities. Diagnostic considerations include neuroimaging (CT or MRI) to confirm the infarction and assess the extent of brain damage, along with vascular imaging to identify the occlusion or stenosis. Accurate diagnosis is crucial for appropriate management and rehabilitation planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors: Misidentifying the site of occlusion or stenosis
  • Documentation gaps: Incomplete clinical notes regarding the patient's presentation and diagnostic imaging results
  • Billing challenges: Potential denials due to lack of specificity in documentation

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 significantly impact population health, contributing to morbidity and mortality rates associated with stroke. They are a leading cause of long-term disability, affecting quality of life and increasing healthcare utilization. Understanding the epidemiology of cerebral infarctions, including risk factors such as hypertension and diabetes, is crucial for developing preventive strategies and improving quality measures in healthcare systems.

ICD-9 vs ICD-10

Cerebral infarctions significantly impact population health, contributing to morbidity and mortality rates associated with stroke. They are a leading cause of long-term disability, affecting quality of life and increasing healthcare utilization. Understanding the epidemiology of cerebral infarctions, including risk factors such as hypertension and diabetes, is crucial for developing preventive strategies and improving quality measures in healthcare systems.

Reimbursement & Billing Impact

reimbursement.

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 I63.59?

I63.59 covers cerebral infarctions resulting from occlusions or stenosis of cerebral arteries that are not classified under more specific codes. This includes infarctions due to embolic events or thrombosis in smaller cerebral arteries, which may not be clearly defined in other codes.

When should I63.59 be used instead of related codes?

I63.59 should be used when the occlusion or stenosis is confirmed but not specified to a particular artery. If the specific artery involved is known, a more specific code should be selected to ensure accurate representation of the patient's condition.

What documentation supports I63.59?

Documentation should include detailed clinical notes describing the patient's symptoms, results from neuroimaging studies confirming the infarction, and any vascular imaging that indicates occlusion or stenosis. Clear documentation of the clinical decision-making process is also essential.