Occlusion and stenosis of bilateral carotid arteries
ICD-10 I65.23 is a billable code used to indicate a diagnosis of occlusion and stenosis of bilateral carotid arteries.
I65.23 refers to the occlusion and stenosis of bilateral carotid arteries, which are critical blood vessels supplying oxygenated blood to the brain. Clinically, patients may present with symptoms such as transient ischemic attacks (TIAs), stroke, or neurological deficits due to reduced cerebral perfusion. The anatomy involved includes the common carotid arteries, which bifurcate into the internal and external carotid arteries. Disease progression typically involves atherosclerosis, where plaque builds up in the arterial walls, leading to narrowing (stenosis) or complete blockage (occlusion). Diagnostic considerations include imaging studies such as Doppler ultrasound, CT angiography, or MR angiography to assess blood flow and identify the severity of stenosis. Early detection and management are crucial to prevent serious complications such as stroke, making this condition a significant focus in cardiovascular health.
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
I65.23 covers occlusion and stenosis of both carotid arteries, which may be due to atherosclerosis, embolism, or other vascular diseases that impede blood flow to the brain.
I65.23 should be used when both carotid arteries are affected by occlusion or stenosis, as opposed to I65.21 or I65.22, which are used for unilateral conditions.
Documentation should include clinical findings, imaging results showing the degree of stenosis or occlusion, and any relevant patient history that supports the diagnosis.
