Cerebral infarction due to thrombosis of left vertebral artery
ICD-10 I63.012 is a billable code used to indicate a diagnosis of cerebral infarction due to thrombosis of left vertebral artery.
Cerebral infarction due to thrombosis of the left vertebral artery is a type of ischemic stroke that occurs when a blood clot obstructs blood flow in the left vertebral artery, leading to a reduction in oxygen supply to the brain tissue supplied by this artery. Clinically, patients may present with sudden onset of neurological deficits, which can include unilateral weakness, speech difficulties, and visual disturbances, depending on the area of the brain affected. The left vertebral artery is a critical vessel that contributes to the posterior circulation of the brain, and its occlusion can lead to significant morbidity. Disease progression can vary; some patients may experience transient ischemic attacks (TIAs) prior to a full stroke, while others may have a rapid decline in function. Diagnostic considerations include neuroimaging studies such as CT or MRI to confirm the presence of an infarct and to rule out hemorrhagic stroke. Additionally, vascular imaging may be necessary to visualize the vertebral arteries and assess for thrombosis or stenosis. Early intervention is crucial to minimize brain damage and improve outcomes.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
I63.012 specifically covers cerebral infarction resulting from thrombosis of the left vertebral artery. This includes acute ischemic strokes and may also encompass transient ischemic attacks (TIAs) if they are due to the same underlying cause.
I63.012 should be used when the clinical documentation clearly indicates a cerebral infarction due to thrombosis of the left vertebral artery. It is essential to differentiate from other stroke types, such as those caused by embolism or hemorrhage, and to specify laterality.
Documentation should include a detailed history of the patient's symptoms, results from neuroimaging studies confirming the infarction, and any relevant laboratory tests that may indicate thrombosis. Clinical notes should clearly outline the diagnosis and treatment plan.