Cerebral infarction due to thrombosis of bilateral vertebral arteries
ICD-10 I63.013 is a billable code used to indicate a diagnosis of cerebral infarction due to thrombosis of bilateral vertebral arteries.
Cerebral infarction due to thrombosis of bilateral vertebral arteries is a serious condition characterized by the obstruction of blood flow to the brain caused by a thrombus (blood clot) that forms in the vertebral arteries. These arteries are crucial for supplying blood to the posterior circulation of the brain, which includes the cerebellum and brainstem. Clinical presentation may include sudden onset of neurological deficits such as dizziness, vertigo, ataxia, visual disturbances, and possibly loss of consciousness. The disease progression can lead to significant morbidity, including long-term disability or death, depending on the extent of the infarction and the promptness of treatment. Diagnostic considerations include neuroimaging studies such as CT or MRI to identify the location and extent of the infarction, as well as vascular imaging to assess the status of the vertebral arteries. Risk factors for thrombosis include atherosclerosis, hypertension, and hypercoagulable states, which should be evaluated in affected patients.
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
I63.013 specifically covers cerebral infarction resulting from thrombosis of both vertebral arteries. It is important to differentiate this from other types of cerebral infarctions, such as those due to embolism or hemorrhage.
I63.013 should be used when there is clear evidence of bilateral vertebral artery thrombosis leading to cerebral infarction. If the infarction is unilateral or due to other causes, other codes should be considered.
Documentation should include clinical findings, imaging results confirming bilateral vertebral artery thrombosis, and any relevant history of risk factors such as hypertension or previous strokes.
