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ICD-10 Guide
ICD-10 CodesG45.2

G45.2

Billable

Multiple and bilateral precerebral artery syndromes

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 G45.2 is a billable code used to indicate a diagnosis of multiple and bilateral precerebral artery syndromes.

Key Diagnostic Point:

Multiple and bilateral precerebral artery syndromes refer to a group of cerebrovascular conditions characterized by transient ischemic attacks (TIAs) and other syndromes affecting the blood supply to the brain via the precerebral arteries. These syndromes can manifest as episodes of neurological dysfunction due to temporary disruptions in blood flow, often lasting less than 24 hours. Patients may experience symptoms such as weakness, numbness, speech difficulties, and visual disturbances. The condition is often associated with risk factors such as hypertension, diabetes, hyperlipidemia, and smoking. Effective management focuses on stroke prevention strategies, including lifestyle modifications, antiplatelet therapy, and management of underlying conditions. Understanding the clinical presentation and risk factors is crucial for timely diagnosis and intervention, as these syndromes can be precursors to more severe cerebrovascular events, including strokes. Early identification and treatment can significantly reduce the risk of permanent neurological damage and improve patient outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between TIA and other cerebrovascular events
  • Identifying bilateral involvement and multiple episodes
  • Documenting risk factors and comorbidities accurately
  • Understanding the nuances of transient ischemic attacks

Audit Risk Factors

  • Inadequate documentation of symptoms and duration
  • Failure to document risk factors and comorbidities
  • Misclassification of TIA versus stroke
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, history of present illness, and risk factor assessment.

Common Clinical Scenarios

Patients presenting with recurrent TIAs, sudden onset of neurological deficits, or post-stroke follow-up.

Billing Considerations

Ensure clarity in documenting the temporal nature of symptoms and any imaging studies performed.

Internal Medicine

Documentation Requirements

Comprehensive review of patient history, including cardiovascular risk factors and medication management.

Common Clinical Scenarios

Management of patients with multiple risk factors for cerebrovascular disease and those presenting with vague neurological symptoms.

Billing Considerations

Focus on preventive measures and lifestyle modifications in documentation.

Coding Guidelines

Inclusion Criteria

Use G45.2 When
  • According to ICD
  • 10 guidelines, G45
  • 2 should be used when there is documentation of multiple episodes of TIA or bilateral involvement
  • It is important to ensure that the episodes are transient and do not last longer than 24 hours

Exclusion Criteria

Do NOT use G45.2 When
  • Exclusion criteria include permanent neurological deficits

Related ICD-10 Codes

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits for patients with a history of TIAs.

Documentation Requirements

Document history of present illness, review of systems, and assessment of risk factors.

Specialty Considerations

Neurology specialists should focus on neurological examination findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of cerebrovascular conditions, improving the ability to track and manage multiple and bilateral precerebral artery syndromes. This specificity aids in better patient management and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of cerebrovascular conditions, improving the ability to track and manage multiple and bilateral precerebral artery syndromes. This specificity aids in better patient management and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of cerebrovascular conditions, improving the ability to track and manage multiple and bilateral precerebral artery syndromes. This specificity aids in better patient management and resource allocation.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between G45.2 and G45.1?

G45.2 is used for multiple and bilateral precerebral artery syndromes, while G45.1 is for single cerebral artery syndrome. The distinction is based on the number of episodes and the involvement of arteries.