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ICD-10 Guide
ICD-10 CodesI63.321

I63.321

Billable

Cerebral infarction due to thrombosis of right anterior cerebral artery

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

Code Description

ICD-10 I63.321 is a billable code used to indicate a diagnosis of cerebral infarction due to thrombosis of right anterior cerebral artery.

Key Diagnostic Point:

Cerebral infarction due to thrombosis of the right anterior cerebral artery is characterized by the obstruction of blood flow to the right anterior cerebral artery, leading to ischemia and subsequent infarction of the brain tissue supplied by this artery. Clinically, patients may present with unilateral weakness, sensory deficits, and cognitive impairments, particularly affecting the contralateral side of the body. The anterior cerebral artery supplies the medial portions of the frontal lobes and the superior medial parietal lobes, which are critical for motor and sensory functions. Disease progression can vary; some patients may experience rapid onset of symptoms, while others may have a more gradual presentation. Diagnostic considerations include neuroimaging techniques such as CT or MRI scans to confirm the presence of an infarct and to rule out hemorrhagic stroke. Additionally, risk factors such as hypertension, diabetes, and hyperlipidemia should be evaluated to manage and prevent further cerebrovascular events.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires imaging and clinical assessment to confirm diagnosis.
  • Treatment complexity: May involve anticoagulation therapy, rehabilitation, and management of risk factors.
  • 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: Misidentification of the artery involved or incorrect coding of the type of stroke.
  • Documentation gaps: Lack of comprehensive clinical notes or imaging results.
  • Billing challenges: Potential denials if documentation does not support the severity or specificity of the condition.

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 infarctions, including those due to thrombosis of the anterior cerebral artery, significantly impact population health, contributing to morbidity and mortality rates associated with stroke. Effective management and prevention strategies are crucial for reducing healthcare utilization patterns and improving quality measures. Understanding the epidemiology of this condition helps in targeting interventions for at-risk populations, ultimately enhancing patient outcomes.

ICD-9 vs ICD-10

Cerebral infarctions, including those due to thrombosis of the anterior cerebral artery, significantly impact population health, contributing to morbidity and mortality rates associated with stroke. Effective management and prevention strategies are crucial for reducing healthcare utilization patterns and improving quality measures. Understanding the epidemiology of this condition helps in targeting interventions for at-risk populations, ultimately enhancing patient outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include the need for detailed clinical notes that outline the patient's symptoms, diagnostic imaging results, and treatment plans. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. Coders should ensure that all relevant information is captured to support the claim and reduce the risk of audits.

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 I63.321?

I63.321 specifically covers cerebral infarction resulting from thrombosis of the right anterior cerebral artery. This includes ischemic events leading to brain tissue death due to lack of blood supply.

When should I63.321 be used instead of related codes?

I63.321 should be used when there is clear evidence of thrombosis affecting the right anterior cerebral artery, as opposed to other types of strokes or infarctions that may involve different arteries or mechanisms.

What documentation supports I63.321?

Documentation should include clinical findings, imaging results confirming the infarction, and any relevant patient history that supports the diagnosis of thrombosis in the right anterior cerebral artery.