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ICD-10 Guide
ICD-10 CodesI63.00

I63.00

Billable

Cerebral infarction due to thrombosis of unspecified precerebral artery

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

Code Description

ICD-10 I63.00 is a billable code used to indicate a diagnosis of cerebral infarction due to thrombosis of unspecified precerebral artery.

Key Diagnostic Point:

Cerebral infarction due to thrombosis of an unspecified precerebral artery refers to a condition where a blockage occurs in one of the arteries supplying blood to the brain, leading to a reduction in blood flow and subsequent brain tissue death. This condition typically presents with sudden onset of neurological deficits, which may include weakness, speech difficulties, and sensory loss, depending on the area of the brain affected. The anatomy involved includes the carotid arteries and their branches, which are crucial for cerebral perfusion. Disease progression can vary; some patients may experience transient ischemic attacks (TIAs) prior to a full-blown stroke, while others may present with acute symptoms. Diagnostic considerations include imaging studies such as CT or MRI to confirm the presence of an infarct and to rule out hemorrhagic stroke. Additionally, vascular imaging may be performed to identify the specific site of thrombosis and assess for potential underlying conditions such as atherosclerosis or embolism.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires imaging and clinical evaluation to confirm diagnosis.
  • Treatment complexity: Management may involve anticoagulation, rehabilitation, and addressing risk factors.
  • Documentation requirements: Detailed clinical notes and imaging results are necessary.
  • Coding specificity: Requires precise identification of the affected artery and type of infarction.

Audit Risk Factors

  • Common coding errors: Misidentification of the artery involved or confusion with other stroke codes.
  • Documentation gaps: Incomplete clinical notes regarding the onset and nature of symptoms.
  • 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

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

Cerebral infarction due to thrombosis of an unspecified precerebral artery has significant clinical implications, as it can lead to long-term disability and increased healthcare utilization. The condition is a leading cause of morbidity and mortality worldwide, impacting population health significantly. Quality measures focus on timely diagnosis and treatment to minimize brain damage and improve patient outcomes. Understanding the epidemiology of stroke, including risk factors and prevention strategies, is crucial for healthcare providers to reduce incidence rates and improve overall health outcomes.

ICD-9 vs ICD-10

Cerebral infarction due to thrombosis of an unspecified precerebral artery has significant clinical implications, as it can lead to long-term disability and increased healthcare utilization. The condition is a leading cause of morbidity and mortality worldwide, impacting population health significantly. Quality measures focus on timely diagnosis and treatment to minimize brain damage and improve patient outcomes. Understanding the epidemiology of stroke, including risk factors and prevention strategies, is crucial for healthcare providers to reduce incidence rates and improve overall health outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the diagnosis is supported by appropriate clinical evidence and that the services rendered are medically necessary. Common denials may arise from insufficient documentation or failure to provide detailed clinical notes. Best practices include maintaining thorough records of patient encounters, ensuring that all relevant information is captured, and using the most specific codes available to avoid ambiguity in billing.

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 I63.00?

I63.00 covers cerebral infarction due to thrombosis of an unspecified precerebral artery. This includes cases where the exact artery involved is not documented, but the patient exhibits signs of ischemic stroke.

When should I63.00 be used instead of related codes?

I63.00 should be used when the specific precerebral artery involved is unknown or unspecified. If the artery can be identified, related codes such as I63.01 or I63.02 should be used for more precise coding.

What documentation supports I63.00?

Documentation should include a detailed account of the patient's symptoms, imaging results confirming the cerebral infarction, and any relevant medical history that may indicate risk factors for stroke.