ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesI63.119

I63.119

Billable

Cerebral infarction due to embolism of unspecified vertebral artery

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

Code Description

ICD-10 I63.119 is a billable code used to indicate a diagnosis of cerebral infarction due to embolism of unspecified vertebral artery.

Key Diagnostic Point:

Cerebral infarction due to embolism of the unspecified vertebral artery occurs when a blood clot or other debris travels through the bloodstream and lodges in one of the vertebral arteries, leading to a blockage of blood flow to the brain. This condition can result in ischemic stroke, characterized by sudden onset of neurological deficits such as weakness, speech difficulties, and sensory loss. The vertebral arteries, which supply blood to the posterior part of the brain, are critical for maintaining cerebral perfusion. The progression of this condition can vary; some patients may experience transient ischemic attacks (TIAs) before a full stroke occurs, while others may present with acute symptoms. Diagnostic considerations include neuroimaging studies such as CT or MRI scans to confirm the presence of an infarction and to rule out hemorrhagic stroke. Additionally, vascular imaging may be performed to identify the source of the embolism and assess the integrity of the vertebral arteries. Early recognition and intervention are crucial to minimize neurological damage and improve patient outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires imaging and clinical correlation to confirm diagnosis.
  • Treatment complexity: Management may involve anticoagulation, rehabilitation, and monitoring.
  • Documentation requirements: Detailed clinical notes and imaging reports are essential.
  • Coding specificity: Requires precise identification of the embolic source and affected artery.

Audit Risk Factors

  • Common coding errors: Misidentification of the embolic source or affected artery.
  • Documentation gaps: Incomplete clinical notes or lack of imaging reports.
  • Billing challenges: Potential denials due to insufficient documentation or coding errors.

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 embolism significantly impacts population health, contributing to morbidity and mortality associated with stroke. It highlights the importance of timely diagnosis and intervention to prevent long-term disability. Quality measures related to stroke care, such as door-to-needle time for thrombolysis, are critical in improving patient outcomes. Understanding the epidemiology of this condition can aid in resource allocation and preventive strategies within healthcare systems.

ICD-9 vs ICD-10

Cerebral infarction due to embolism significantly impacts population health, contributing to morbidity and mortality associated with stroke. It highlights the importance of timely diagnosis and intervention to prevent long-term disability. Quality measures related to stroke care, such as door-to-needle time for thrombolysis, are critical in improving patient outcomes. Understanding the epidemiology of this condition can aid in resource allocation and preventive strategies within healthcare systems.

Reimbursement & Billing Impact

reimbursement considerations include the need for prior authorization for imaging studies and potential denials if documentation does not clearly establish the medical necessity of the services provided. Best practices include maintaining clear and concise clinical notes and ensuring that all coding aligns with the documentation to minimize audit risks.

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 I63.119?

I63.119 specifically covers cerebral infarction resulting from embolism of the unspecified vertebral artery. This includes cases where the embolism is not clearly defined or identified, leading to ischemic stroke symptoms.

When should I63.119 be used instead of related codes?

I63.119 should be used when the embolism is confirmed to originate from the vertebral artery but the specific artery cannot be identified. If the embolism is from a different source or artery, other codes such as I63.118 (cerebral infarction due to embolism of other specified arteries) may be more appropriate.

What documentation supports I63.119?

Documentation should include clinical notes detailing the patient's symptoms, results from neuroimaging studies confirming cerebral infarction, and any relevant vascular studies that indicate embolism from the vertebral artery.