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ICD-10 Guide
ICD-10 CodesI63.132

I63.132

Billable

Cerebral infarction due to embolism of left carotid artery

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

Code Description

ICD-10 I63.132 is a billable code used to indicate a diagnosis of cerebral infarction due to embolism of left carotid artery.

Key Diagnostic Point:

Cerebral infarction due to embolism of the left carotid artery is a type of ischemic stroke that occurs when a blood clot or embolus obstructs blood flow to the brain, specifically affecting the left side. This condition can lead to sudden neurological deficits, including weakness or paralysis on the right side of the body, speech difficulties, and cognitive impairments. The left carotid artery, which supplies blood to the left hemisphere of the brain, is often affected by embolic events originating from the heart or atherosclerotic plaques. Disease progression can vary; some patients may experience transient ischemic attacks (TIAs) prior to a full-blown stroke, while others may have a sudden onset of symptoms. Diagnostic considerations include neuroimaging (CT or MRI scans) to confirm the presence of an infarct and vascular imaging to identify the source of the embolism. Timely intervention is crucial to minimize brain damage and improve outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires imaging and clinical evaluation to confirm diagnosis.
  • Treatment complexity: May involve acute management with thrombolytics or surgical intervention.
  • Documentation requirements: Detailed clinical notes and imaging reports are necessary.
  • Coding specificity: Requires precise coding to differentiate from other types of strokes.

Audit Risk Factors

  • Common coding errors: Misidentifying the side of the carotid artery involved.
  • Documentation gaps: Incomplete clinical notes regarding the patient's history and symptoms.
  • Billing challenges: Potential denials due to lack of supporting documentation for the diagnosis.

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

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 rates associated with stroke. Quality measures focus on timely diagnosis and treatment, which are crucial for improving patient outcomes. Understanding healthcare utilization patterns related to this condition can help in resource allocation and preventive strategies, as well as in addressing the epidemiological trends of stroke incidence in various demographics.

ICD-9 vs ICD-10

Cerebral infarction due to embolism significantly impacts population health, contributing to morbidity and mortality rates associated with stroke. Quality measures focus on timely diagnosis and treatment, which are crucial for improving patient outcomes. Understanding healthcare utilization patterns related to this condition can help in resource allocation and preventive strategies, as well as in addressing the epidemiological trends of stroke incidence in various demographics.

Reimbursement & Billing Impact

Reimbursement considerations include the patient's insurance policy and the necessity of acute care services. Common denials may arise from insufficient documentation or failure to provide evidence of the embolic source. Best practices include ensuring that all clinical notes, imaging reports, and treatment plans are meticulously documented and aligned with the coding guidelines to facilitate smooth claims processing.

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 I63.132?

I63.132 specifically covers cerebral infarctions resulting from embolic events originating from the left carotid artery. This includes strokes caused by cardiac sources such as atrial fibrillation or from atherosclerotic plaques.

When should I63.132 be used instead of related codes?

I63.132 should be used when the cerebral infarction is confirmed to be due to embolism from the left carotid artery. It is important to differentiate it from other stroke types, such as those due to thrombosis or affecting the right carotid artery.

What documentation supports I63.132?

Documentation should include clinical findings, imaging results confirming the infarction, and notes indicating the source of the embolism. Detailed accounts of the patient's symptoms and any prior TIAs should also be included.