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ICD-10 Guide
ICD-10 CodesI63.339

I63.339

Billable

Cerebral infarction due to thrombosis of unspecified posterior cerebral artery

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

Code Description

ICD-10 I63.339 is a billable code used to indicate a diagnosis of cerebral infarction due to thrombosis of unspecified posterior cerebral artery.

Key Diagnostic Point:

Cerebral infarction due to thrombosis of the unspecified posterior cerebral artery is a type of ischemic stroke that occurs when a blood clot obstructs blood flow to the posterior cerebral artery, which supplies blood to the occipital lobe and parts of the temporal lobe. Clinically, patients may present with visual disturbances, such as homonymous hemianopia, and other neurological deficits depending on the extent of the infarction. The anatomy involved includes the posterior cerebral artery, which branches from the basilar artery and is crucial for supplying oxygenated blood to vital brain regions. Disease progression can lead to significant neurological impairment, and timely intervention is critical to minimize brain damage. Diagnostic considerations include neuroimaging studies, such as CT or MRI scans, to confirm the presence of an infarct and to rule out hemorrhagic stroke. Additionally, a thorough clinical history and physical examination are essential to assess risk factors such as hypertension, diabetes, and hyperlipidemia, which contribute to thrombosis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires imaging and clinical correlation.
  • Treatment complexity: May involve anticoagulation, rehabilitation, and monitoring.
  • Documentation requirements: Detailed clinical notes and imaging reports are necessary.
  • Coding specificity: Requires precise identification of the affected artery.

Audit Risk Factors

  • Common coding errors: Misidentifying the affected artery or using a more specific code.
  • Documentation gaps: Incomplete clinical notes or lack of imaging results.
  • Billing challenges: Potential denials due to insufficient documentation or coding errors.

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

Emergency Medicine

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 of the posterior cerebral artery has significant clinical implications, affecting patient quality of life and healthcare costs. It is a leading cause of disability and mortality, impacting population health. Effective management and timely intervention can improve outcomes and reduce healthcare utilization. Understanding the epidemiology of this condition helps in developing preventive strategies and quality measures aimed at reducing the incidence of strokes.

ICD-9 vs ICD-10

Cerebral infarction due to thrombosis of the posterior cerebral artery has significant clinical implications, affecting patient quality of life and healthcare costs. It is a leading cause of disability and mortality, impacting population health. Effective management and timely intervention can improve outcomes and reduce healthcare utilization. Understanding the epidemiology of this condition helps in developing preventive strategies and quality measures aimed at reducing the incidence of strokes.

Reimbursement & Billing Impact

Reimbursement considerations involve ensuring that the diagnosis is clearly linked to the services provided. Common denials may arise from insufficient documentation or failure to provide evidence of medical necessity. Coders should ensure that all relevant clinical information is included in the medical record to support the diagnosis and any associated procedures.

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 I63.339?

I63.339 covers cerebral infarction due to thrombosis of the unspecified posterior cerebral artery, which may include conditions like ischemic stroke without specific localization or when the exact artery cannot be determined.

When should I63.339 be used instead of related codes?

I63.339 should be used when the clinical presentation indicates a posterior cerebral artery infarction but the specific artery cannot be identified. If the artery is known, a more specific code should be selected.

What documentation supports I63.339?

Documentation should include imaging results confirming the infarction, a detailed clinical history, and physical examination findings that support the diagnosis of cerebral infarction due to thrombosis.