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ICD-10 Guide
ICD-10 CodesI66.11

I66.11

Billable

Occlusion and stenosis of right anterior cerebral artery

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

Code Description

ICD-10 I66.11 is a billable code used to indicate a diagnosis of occlusion and stenosis of right anterior cerebral artery.

Key Diagnostic Point:

I66.11 refers to the occlusion and stenosis of the right anterior cerebral artery, a critical condition affecting cerebral blood flow. The anterior cerebral artery (ACA) is responsible for supplying blood to the medial portions of the frontal lobes and the superior medial parietal lobes. Clinical presentation may include symptoms such as weakness or paralysis of the contralateral leg, sensory loss, and cognitive deficits, depending on the extent of ischemia. Disease progression can lead to significant neurological impairment, including stroke, if not managed promptly. Diagnostic considerations include imaging studies such as MRI or CT angiography to assess the degree of occlusion or stenosis and to rule out other cerebrovascular diseases. Early detection and intervention are crucial to prevent irreversible brain damage and improve patient outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires imaging and clinical correlation.
  • Treatment complexity: May involve medical management or surgical intervention.
  • Documentation requirements: Detailed clinical notes and imaging reports needed.
  • Coding specificity: Requires precise coding to differentiate from other cerebrovascular conditions.

Audit Risk Factors

  • Common coding errors: Misidentification of the affected artery.
  • Documentation gaps: Incomplete clinical notes or lack of imaging results.
  • Billing challenges: 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

Vascular Surgery

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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of I66.11 lies in its potential to lead to serious neurological deficits if not addressed promptly. Population health impact includes increased healthcare utilization due to emergency interventions and rehabilitation services. Quality measures may focus on timely diagnosis and treatment to prevent strokes, while epidemiological considerations highlight the prevalence of cerebrovascular diseases in aging populations.

ICD-9 vs ICD-10

The clinical significance of I66.11 lies in its potential to lead to serious neurological deficits if not addressed promptly. Population health impact includes increased healthcare utilization due to emergency interventions and rehabilitation services. Quality measures may focus on timely diagnosis and treatment to prevent strokes, while epidemiological considerations highlight the prevalence of cerebrovascular diseases in aging populations.

Reimbursement & Billing Impact

Reimbursement considerations may vary based on the severity of the condition and the interventions performed. Common denials can occur if documentation does not clearly establish the diagnosis or if the coding does not align with the services rendered. Best practices include ensuring that all documentation is complete and accurately reflects the patient's condition and treatment.

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 I66.11?

I66.11 encompasses occlusion and stenosis of the right anterior cerebral artery, which may result from atherosclerosis, embolism, or other vascular diseases leading to reduced blood flow and potential ischemic events.

When should I66.11 be used instead of related codes?

I66.11 should be used when there is confirmed occlusion or stenosis specifically of the right anterior cerebral artery, as opposed to other arteries or conditions that may present similarly.

What documentation supports I66.11?

Documentation should include clinical findings, imaging results confirming occlusion or stenosis, and any relevant history of cerebrovascular disease or risk factors.