Cerebral infarction due to thrombosis of anterior cerebral artery
ICD-10 I63.32 is a used to indicate a diagnosis of cerebral infarction due to thrombosis of anterior cerebral artery.
Cerebral infarction due to thrombosis of the anterior cerebral artery (ACA) occurs when a blood clot obstructs blood flow to the ACA, leading to ischemia and subsequent brain tissue death. Clinically, patients may present with unilateral weakness, sensory loss, and cognitive deficits, particularly affecting the lower extremities and frontal lobe functions. The anterior cerebral artery supplies blood to the medial portions of the frontal lobes and the superior medial parietal lobes. Disease progression can vary; some patients may experience rapid deterioration, while others may have a more gradual onset of symptoms. Diagnostic considerations include neuroimaging studies such as CT or MRI to confirm the presence of an infarct and assess the extent of brain damage. Risk factors for ACA thrombosis include hypertension, diabetes, hyperlipidemia, and atrial fibrillation, which contribute to the development of atherosclerosis and thrombus formation.
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
I63.32 specifically covers cerebral infarctions resulting from thrombosis in the anterior cerebral artery. This includes ischemic strokes where the ACA is occluded, leading to neurological deficits primarily affecting the lower extremities and cognitive functions associated with the frontal lobe.
I63.32 should be used when the cerebral infarction is specifically due to thrombosis of the anterior cerebral artery. It is important to differentiate it from other codes like I63.31, which pertains to embolic strokes, and I63.30, which is for unspecified cerebral infarction.
Documentation for I63.32 should include detailed clinical notes outlining the patient's symptoms, results of neuroimaging studies confirming the infarction, and any relevant laboratory tests indicating risk factors for thrombosis.