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v1.0.0
ICD-10 Guide
ICD-10 CodesG46.7

G46.7

Billable

Other lacunar syndromes

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

Code Description

ICD-10 G46.7 is a billable code used to indicate a diagnosis of other lacunar syndromes.

Key Diagnostic Point:

Lacunar syndromes are a subset of cerebrovascular diseases characterized by small, deep infarcts in the brain, typically resulting from occlusion of small penetrating arteries. These syndromes often manifest as transient ischemic attacks (TIAs) or strokes, leading to specific neurological deficits depending on the affected brain region. Common presentations include pure motor hemiparesis, pure sensory stroke, and ataxic hemiparesis. The clinical significance of lacunar syndromes lies in their association with vascular risk factors such as hypertension, diabetes, and hyperlipidemia. Effective management focuses on stroke prevention through lifestyle modifications and pharmacotherapy, including antiplatelet agents and antihypertensive medications. The recognition of lacunar syndromes is crucial for timely intervention, as they can lead to significant morbidity and increased risk of recurrent strokes. Accurate coding of G46.7 is essential for proper documentation of these conditions and their management in clinical practice.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between lacunar syndromes and other cerebrovascular events
  • Understanding the specific clinical manifestations associated with lacunar strokes
  • Identifying appropriate risk factors and comorbidities
  • Navigating documentation requirements for transient ischemic attacks

Audit Risk Factors

  • Inadequate documentation of clinical symptoms
  • Failure to document risk factors or comorbidities
  • Misclassification of transient ischemic attacks as lacunar syndromes
  • Lack of imaging studies to support diagnosis

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, imaging results, and risk factor assessment.

Common Clinical Scenarios

Patients presenting with sudden onset of weakness, sensory loss, or coordination difficulties.

Billing Considerations

Ensure that all neurological deficits are clearly documented to support the diagnosis of lacunar syndromes.

Primary Care

Documentation Requirements

Comprehensive history of vascular risk factors, medication adherence, and lifestyle modifications.

Common Clinical Scenarios

Patients with a history of TIAs or stroke presenting for follow-up care.

Billing Considerations

Documenting preventive measures and patient education efforts is crucial for coding.

Coding Guidelines

Inclusion Criteria

Use G46.7 When
  • According to the ICD
  • CM coding guidelines, G46
  • 7 should be used when the clinical documentation supports a diagnosis of other lacunar syndromes
  • It is important to ensure that the documentation reflects the specific type of neurological deficits and any associated risk factors

Exclusion Criteria

Do NOT use G46.7 When
  • Exclusion criteria include conditions that are more specifically defined under other codes

Related ICD-10 Codes

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits of patients with lacunar syndromes.

Documentation Requirements

Document history, examination findings, and management plan.

Specialty Considerations

Neurologists should ensure detailed neurological assessments are included.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of lacunar syndromes, improving the accuracy of data collection and reimbursement processes. G46.7 provides a broader category for conditions that may not fit neatly into more specific codes, allowing for better tracking of these syndromes in clinical practice.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of lacunar syndromes, improving the accuracy of data collection and reimbursement processes. G46.7 provides a broader category for conditions that may not fit neatly into more specific codes, allowing for better tracking of these syndromes in clinical practice.

Reimbursement & Billing Impact

reimbursement processes. G46.7 provides a broader category for conditions that may not fit neatly into more specific codes, allowing for better tracking of these syndromes in clinical practice.

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 are the common symptoms of lacunar syndromes?

Common symptoms include sudden weakness, sensory loss, and coordination difficulties, depending on the specific brain region affected.

How do I differentiate between a TIA and a lacunar syndrome?

A TIA is characterized by transient symptoms lasting less than 24 hours, while lacunar syndromes may present with more persistent neurological deficits.