Occlusion and stenosis of bilateral vertebral arteries
ICD-10 I65.03 is a billable code used to indicate a diagnosis of occlusion and stenosis of bilateral vertebral arteries.
I65.03 refers to the occlusion and stenosis of bilateral vertebral arteries, which are critical vessels supplying blood to the posterior circulation of the brain. Clinically, patients may present with symptoms such as dizziness, vertigo, visual disturbances, or even transient ischemic attacks (TIAs) due to compromised blood flow. The vertebral arteries arise from the subclavian arteries and ascend through the cervical vertebrae, merging to form the basilar artery. Disease progression can lead to significant neurological deficits if not addressed, as reduced blood flow can result in ischemia of the brainstem and cerebellum. Diagnostic considerations include imaging studies such as Doppler ultrasound, CT angiography, or MR angiography to assess the degree of occlusion or stenosis. Risk factors include atherosclerosis, hypertension, and other cardiovascular diseases, making early detection and management crucial to prevent severe complications like stroke.
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
I65.03 covers occlusion and stenosis of both vertebral arteries, which may lead to symptoms of vertebrobasilar insufficiency, including dizziness, ataxia, and visual disturbances. It is important to differentiate this from unilateral occlusion codes.
I65.03 should be used when both vertebral arteries are affected by occlusion or stenosis. If only one artery is involved, the appropriate unilateral code (I65.01 or I65.02) should be selected.
Documentation should include imaging studies confirming bilateral occlusion or stenosis, clinical notes detailing symptoms, and any relevant history of cardiovascular disease or risk factors.
