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ICD-10 Guide
ICD-10 CodesI66.22

I66.22

Billable

Occlusion and stenosis of left posterior cerebral artery

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

Code Description

ICD-10 I66.22 is a billable code used to indicate a diagnosis of occlusion and stenosis of left posterior cerebral artery.

Key Diagnostic Point:

I66.22 refers to the occlusion and stenosis of the left posterior cerebral artery (PCA), a critical vessel in the cerebral circulation that supplies blood to the occipital lobe and parts of the temporal lobe. Clinically, patients may present with symptoms such as visual disturbances, hemianopsia, or cognitive deficits, depending on the extent of ischemia. The PCA is responsible for supplying blood to areas of the brain involved in visual processing, thus occlusion can lead to significant neurological deficits. Disease progression may involve gradual stenosis due to atherosclerosis or acute occlusion from embolic events. Diagnostic considerations include imaging studies such as MRI or CT angiography to visualize the blood flow and identify the location and severity of the occlusion. Early diagnosis 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 to confirm occlusion.
  • Treatment complexity: May involve medical management, rehabilitation, or surgical intervention.
  • Documentation requirements: Detailed clinical notes and imaging reports are necessary.
  • Coding specificity: Requires precise coding to differentiate from other cerebrovascular conditions.

Audit Risk Factors

  • Common coding errors: Misidentifying the side of occlusion or confusing with other cerebrovascular codes.
  • Documentation gaps: Incomplete clinical notes or lack of imaging reports can lead to denials.
  • Billing challenges: Potential for claim denials if documentation does not support the diagnosis.

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

The clinical significance of I66.22 lies in its potential to cause severe neurological deficits, impacting patient quality of life. Understanding the epidemiology of PCA occlusion is crucial, as it can inform population health strategies aimed at reducing the incidence of stroke and improving care for at-risk populations. Quality measures may include timely diagnosis and intervention, which are essential for optimizing healthcare utilization and patient outcomes.

ICD-9 vs ICD-10

The clinical significance of I66.22 lies in its potential to cause severe neurological deficits, impacting patient quality of life. Understanding the epidemiology of PCA occlusion is crucial, as it can inform population health strategies aimed at reducing the incidence of stroke and improving care for at-risk populations. Quality measures may include timely diagnosis and intervention, which are essential for optimizing healthcare utilization and patient outcomes.

Reimbursement & Billing Impact

impact on the patient's health. It is advisable to follow coding best practices by using the most specific codes available and ensuring that all claims are submitted with complete and accurate information.

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 I66.22?

I66.22 specifically covers occlusion and stenosis of the left posterior cerebral artery, which may result from atherosclerosis, embolism, or other vascular diseases leading to reduced blood flow to the posterior cerebral territory.

When should I66.22 be used instead of related codes?

I66.22 should be used when there is confirmed occlusion or stenosis of the left PCA, as evidenced by imaging studies. It is important to differentiate from other codes that may pertain to right-sided occlusions or other vascular territories.

What documentation supports I66.22?

Documentation should include clinical findings, imaging results (such as MRI or CT angiography), and any relevant history of cerebrovascular disease. Detailed notes on symptoms and neurological assessments are also essential.