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ICD-10 Guide
ICD-10 CodesI67.0

I67.0

Billable

Dissection of cerebral arteries, nonruptured

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

Code Description

ICD-10 I67.0 is a billable code used to indicate a diagnosis of dissection of cerebral arteries, nonruptured.

Key Diagnostic Point:

Dissection of cerebral arteries, nonruptured, refers to a condition where there is a tear in the arterial wall of the cerebral arteries without rupture. This condition can lead to ischemia or stroke due to compromised blood flow. Clinically, patients may present with sudden onset of headache, neck pain, or neurological deficits depending on the affected area of the brain. The anatomy involved includes the major cerebral arteries such as the internal carotid arteries and vertebral arteries. Disease progression can vary; some patients may remain asymptomatic, while others may experience severe complications. Diagnostic considerations include imaging studies such as MRI or CT angiography to visualize the arterial dissection and assess for any ischemic changes. Early diagnosis and management are crucial to prevent further neurological damage and to address any underlying risk factors such as hypertension or connective tissue disorders.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires advanced 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 documentation to differentiate from other cerebrovascular conditions.

Audit Risk Factors

  • Common coding errors: Misclassification of dissection type (ruptured vs. nonruptured).
  • Documentation gaps: Incomplete clinical notes or lack of imaging reports.
  • Billing challenges: Potential denials due to insufficient documentation or coding errors.

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

Radiology

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

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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 I67.0 lies in its potential to lead to serious neurological outcomes if not diagnosed and managed appropriately. Population health impact includes the need for awareness of risk factors and early intervention strategies to reduce the incidence of stroke related to cerebral artery dissection. Quality measures may focus on timely diagnosis and treatment, while healthcare utilization patterns may reflect increased imaging and specialist consultations for affected patients. Epidemiologically, understanding the prevalence of this condition can help in developing preventive strategies.

ICD-9 vs ICD-10

The clinical significance of I67.0 lies in its potential to lead to serious neurological outcomes if not diagnosed and managed appropriately. Population health impact includes the need for awareness of risk factors and early intervention strategies to reduce the incidence of stroke related to cerebral artery dissection. Quality measures may focus on timely diagnosis and treatment, while healthcare utilization patterns may reflect increased imaging and specialist consultations for affected patients. Epidemiologically, understanding the prevalence of this condition can help in developing preventive strategies.

Reimbursement & Billing Impact

Reimbursement considerations include the need for detailed clinical notes and imaging studies that confirm the diagnosis. Common denials may arise from insufficient documentation or failure to provide evidence of medical necessity. Best practices include ensuring that all clinical findings and imaging results are clearly documented and that coding is specific to the patient's condition to avoid billing issues.

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 I67.0?

I67.0 specifically covers nonruptured dissections of cerebral arteries, which may include dissections due to trauma, spontaneous dissections, or those associated with connective tissue disorders.

When should I67.0 be used instead of related codes?

I67.0 should be used when there is a confirmed diagnosis of nonruptured cerebral artery dissection, particularly when imaging confirms the dissection without evidence of rupture or hemorrhage.

What documentation supports I67.0?

Documentation must include clinical findings, imaging results confirming the dissection, and any relevant patient history that supports the diagnosis, such as prior vascular events or connective tissue disorders.