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ICD-10 Guide
ICD-10 CodesI67.7

I67.7

Billable

Cerebral arteritis, not elsewhere classified

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

Code Description

ICD-10 I67.7 is a billable code used to indicate a diagnosis of cerebral arteritis, not elsewhere classified.

Key Diagnostic Point:

Cerebral arteritis, not elsewhere classified, refers to inflammation of the cerebral arteries, which can lead to significant neurological deficits and complications. Clinically, patients may present with symptoms such as headaches, seizures, cognitive dysfunction, and focal neurological deficits depending on the areas of the brain affected. The anatomy involved primarily includes the major cerebral arteries, such as the anterior, middle, and posterior cerebral arteries, which supply blood to various brain regions. Disease progression can vary; in some cases, it may be acute and self-limiting, while in others, it may lead to chronic ischemic changes or even stroke. Diagnostic considerations include imaging studies like MRI or CT scans to visualize arterial inflammation and rule out other causes of cerebral symptoms. Laboratory tests may also be performed to identify underlying autoimmune or infectious processes contributing to the arteritis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires comprehensive evaluation to differentiate from other cerebrovascular diseases.
  • Treatment complexity: Management may involve immunosuppressive therapy, which requires careful monitoring.
  • Documentation requirements: Detailed clinical documentation is necessary to support the diagnosis and treatment plan.
  • Coding specificity: Requires precise coding to differentiate from other types of cerebral vascular diseases.

Audit Risk Factors

  • Common coding errors: Misclassification with other cerebrovascular conditions.
  • Documentation gaps: Incomplete clinical notes that do not support the diagnosis.
  • Billing challenges: Potential denials due to lack of specificity in documentation.

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

Rheumatology

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

Cerebral arteritis can significantly impact patient quality of life and healthcare utilization, with potential for long-term neurological deficits. Understanding its epidemiology is crucial, as it may be associated with systemic inflammatory diseases, affecting a diverse patient population. Quality measures should focus on timely diagnosis and effective management to reduce complications and improve outcomes.

ICD-9 vs ICD-10

Cerebral arteritis can significantly impact patient quality of life and healthcare utilization, with potential for long-term neurological deficits. Understanding its epidemiology is crucial, as it may be associated with systemic inflammatory diseases, affecting a diverse patient population. Quality measures should focus on timely diagnosis and effective management to reduce complications and improve outcomes.

Reimbursement & Billing Impact

Reimbursement may depend on the thoroughness of clinical notes and the justification for imaging studies or treatments provided. Common denials can occur if the documentation does not clearly support the diagnosis or if the treatment plan is not adequately detailed. Best practices include ensuring all clinical findings are documented and that the rationale for diagnostic tests is clear and concise.

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 I67.7?

I67.7 encompasses various forms of cerebral arteritis that do not fit into more specific categories, including idiopathic and secondary arteritis due to systemic conditions like lupus or vasculitis.

When should I67.7 be used instead of related codes?

I67.7 should be used when the cerebral arteritis is confirmed but does not meet the criteria for other specific arteritis codes, ensuring accurate representation of the patient's condition.

What documentation supports I67.7?

Documentation should include clinical findings, imaging results, laboratory tests, and a clear rationale for the diagnosis of cerebral arteritis, as well as any relevant patient history.