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ICD-10 Guide
ICD-10 CodesI63.39

I63.39

Billable

Cerebral infarction due to thrombosis of other cerebral artery

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

Code Description

ICD-10 I63.39 is a billable code used to indicate a diagnosis of cerebral infarction due to thrombosis of other cerebral artery.

Key Diagnostic Point:

Cerebral infarction due to thrombosis of other cerebral artery refers to the obstruction of blood flow to the brain caused by a thrombus (blood clot) that forms in a cerebral artery other than the common carotid or vertebral arteries. Clinically, patients may present with sudden onset of neurological deficits, which can include weakness, speech difficulties, visual disturbances, or altered consciousness, depending on the area of the brain affected. The anatomy involved typically includes the smaller branches of the cerebral arteries that supply specific regions of the brain. Disease progression can vary; some patients may experience transient ischemic attacks (TIAs) before a full-blown infarction occurs, while others may have a more insidious onset. Diagnostic considerations include neuroimaging studies such as CT or MRI to identify the infarct and its location, as well as vascular imaging to assess for underlying vascular disease. Laboratory tests may also be performed to evaluate risk factors such as hyperlipidemia or coagulopathies.

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 misidentifying the type of cerebral artery involved.
  • Documentation gaps may arise if the clinical notes do not specify the cause of the infarction.
  • Billing challenges can occur if the medical necessity for imaging and treatment 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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Cerebral infarctions due to thrombosis of other cerebral arteries significantly impact population health, contributing to morbidity and mortality rates associated with stroke. Quality measures often focus on timely diagnosis and treatment to minimize long-term disability. Understanding healthcare utilization patterns is crucial, as these infarctions can lead to increased hospital admissions and rehabilitation needs, highlighting the importance of preventive measures and management of risk factors in at-risk populations.

ICD-9 vs ICD-10

Cerebral infarctions due to thrombosis of other cerebral arteries significantly impact population health, contributing to morbidity and mortality rates associated with stroke. Quality measures often focus on timely diagnosis and treatment to minimize long-term disability. Understanding healthcare utilization patterns is crucial, as these infarctions can lead to increased hospital admissions and rehabilitation needs, highlighting the importance of preventive measures and management of risk factors in at-risk populations.

Reimbursement & Billing Impact

Reimbursement considerations may vary based on the severity of the condition and the complexity of treatment provided. Common denials may arise from insufficient documentation or lack of medical necessity for imaging studies. Best practices include thorough documentation of the patient's clinical presentation and the rationale for interventions, as well as ensuring that all coding aligns with the services rendered.

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 I63.39?

I63.39 covers cerebral infarctions specifically due to thrombosis of cerebral arteries not classified elsewhere, which may include conditions like lacunar infarcts or thrombosis of smaller penetrating arteries.

When should I63.39 be used instead of related codes?

I63.39 should be used when the infarction is specifically due to thrombosis of a cerebral artery not otherwise specified, distinguishing it from codes that indicate embolic strokes or infarctions due to other causes.

What documentation supports I63.39?

Documentation should include clinical findings, imaging results confirming the infarction, and details regarding the thrombotic process, including any relevant risk factors or comorbidities.