Cerebral infarction due to thrombosis of bilateral anterior cerebral arteries
ICD-10 I63.323 is a billable code used to indicate a diagnosis of cerebral infarction due to thrombosis of bilateral anterior cerebral arteries.
I63.323 refers to cerebral infarction due to thrombosis of bilateral anterior cerebral arteries. This condition occurs when a blood clot obstructs blood flow to the anterior cerebral arteries, which supply blood to the frontal lobes and the superior medial parietal lobes of the brain. Clinical presentation may include sudden onset of weakness, sensory loss, or cognitive deficits, often affecting the lower limbs more than the upper limbs due to the areas of the brain involved. The disease progression can lead to significant neurological deficits, and in severe cases, it may result in permanent 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 other causes of acute neurological symptoms. Additionally, risk factors such as hypertension, diabetes, hyperlipidemia, and a history of transient ischemic attacks (TIAs) should be evaluated to manage and prevent further cerebrovascular events.
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
I63.323 specifically covers cerebral infarctions caused by thrombosis in both anterior cerebral arteries, leading to neurological deficits. It is crucial to differentiate this from other types of strokes, such as embolic strokes or those caused by hemorrhage.
I63.323 should be used when there is clear evidence of bilateral anterior cerebral artery thrombosis leading to cerebral infarction. If the infarction is unilateral or due to other causes, different codes should be selected.
Documentation should include detailed clinical notes describing the patient's symptoms, results from neuroimaging studies confirming bilateral anterior cerebral artery involvement, and any relevant medical history that may contribute to the diagnosis.