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ICD-10 Guide
ICD-10 CodesI63.3

I63.3

Non-billable

Cerebral infarction due to thrombosis of cerebral arteries

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

Code Description

ICD-10 I63.3 is a used to indicate a diagnosis of cerebral infarction due to thrombosis of cerebral arteries.

Key Diagnostic Point:

Cerebral infarction due to thrombosis of cerebral arteries is characterized by the obstruction of blood flow to the brain caused by a thrombus (blood clot) that forms within a cerebral artery. 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 major cerebral arteries, such as the middle cerebral artery, anterior cerebral artery, and posterior cerebral artery. Disease progression can lead to irreversible brain damage if not promptly treated, with potential complications including long-term disability or death. Diagnostic considerations include neuroimaging studies such as CT or MRI scans to confirm the presence of an infarct and to rule out hemorrhagic stroke. Clinical history, risk factors such as hypertension, diabetes, and hyperlipidemia, and physical examination findings are also crucial in the diagnostic process.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors include misclassification of stroke type.
  • Documentation gaps may arise from insufficient detail on risk factors or clinical findings.
  • Billing challenges can occur if the clinical rationale for the diagnosis is not clearly documented.

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 thrombosis significantly impacts population health, contributing to high rates of morbidity and mortality. Effective management and timely intervention can improve outcomes and reduce healthcare utilization. Quality measures focus on timely diagnosis and treatment, which are critical for minimizing long-term disability. Epidemiologically, the prevalence of risk factors such as hypertension and diabetes underscores the importance of preventive measures in at-risk populations.

ICD-9 vs ICD-10

Cerebral infarction due to thrombosis significantly impacts population health, contributing to high rates of morbidity and mortality. Effective management and timely intervention can improve outcomes and reduce healthcare utilization. Quality measures focus on timely diagnosis and treatment, which are critical for minimizing long-term disability. Epidemiologically, the prevalence of risk factors such as hypertension and diabetes underscores the importance of preventive measures in at-risk populations.

Reimbursement & Billing Impact

Cerebral infarction due to thrombosis significantly impacts population health, contributing to high rates of morbidity and mortality. Effective management and timely intervention can improve outcomes and reduce healthcare utilization. Quality measures focus on timely diagnosis and treatment, which are critical for minimizing long-term disability. Epidemiologically, the prevalence of risk factors such as hypertension and diabetes underscores the importance of preventive measures in at-risk populations.

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 I63.3?

I63.3 specifically covers cerebral infarction due to thrombosis of cerebral arteries, which includes ischemic strokes resulting from thrombus formation. It does not cover strokes caused by embolism or hemorrhagic strokes.

When should I63.3 be used instead of related codes?

I63.3 should be used when the stroke is confirmed to be due to thrombosis rather than embolism (I63.0) or other causes. Accurate diagnosis through imaging and clinical assessment is essential for proper code selection.

What documentation supports I63.3?

Documentation should include detailed clinical findings, imaging results confirming cerebral infarction, and a clear history of risk factors such as hypertension or diabetes that may have contributed to thrombus formation.