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ICD-10 Guide
ICD-10 CodesI63.422

I63.422

Billable

Cerebral infarction due to embolism of left anterior cerebral artery

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

Code Description

ICD-10 I63.422 is a billable code used to indicate a diagnosis of cerebral infarction due to embolism of left anterior cerebral artery.

Key Diagnostic Point:

Cerebral infarction due to embolism of the left anterior cerebral artery is a type of ischemic stroke that occurs when a blood clot or other debris travels through the bloodstream and lodges in the left anterior cerebral artery, obstructing blood flow to the brain tissue supplied by this artery. Clinically, patients may present with unilateral weakness, sensory loss, and cognitive deficits, particularly affecting the contralateral side of the body. The left anterior cerebral artery primarily supplies the medial portions of the frontal lobes and the superior medial parietal lobes, which are critical for motor function and higher cognitive processes. Disease progression can vary; some patients may experience rapid onset of symptoms, while others may have a more gradual presentation. Diagnostic considerations include neuroimaging (CT or MRI) to confirm the presence of an infarct and to rule out hemorrhagic stroke. Additionally, risk factors such as atrial fibrillation, carotid artery disease, and other cardiovascular conditions should be assessed to determine the underlying cause of the embolism.

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: Misidentifying the type of stroke (thrombotic vs. embolic).
  • Documentation gaps: Incomplete clinical notes regarding the patient's history and risk factors.
  • Billing challenges: Potential denials if documentation does not support the diagnosis or if the code is not used correctly.

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 infarction due to embolism significantly impacts population health, contributing to morbidity and mortality associated with stroke. Effective management of this condition can improve quality measures related to stroke care and rehabilitation. Understanding the epidemiology of embolic strokes helps healthcare providers allocate resources effectively and develop preventive strategies, particularly for high-risk populations.

ICD-9 vs ICD-10

Cerebral infarction due to embolism significantly impacts population health, contributing to morbidity and mortality associated with stroke. Effective management of this condition can improve quality measures related to stroke care and rehabilitation. Understanding the epidemiology of embolic strokes helps healthcare providers allocate resources effectively and develop preventive strategies, particularly for high-risk populations.

Reimbursement & Billing Impact

reimbursement and to ensure that all services rendered are justified by the clinical documentation.

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 I63.422?

I63.422 specifically covers cerebral infarctions resulting from embolic events affecting the left anterior cerebral artery. This includes conditions such as embolism from cardiac sources (e.g., atrial fibrillation) or from atherosclerotic plaques.

When should I63.422 be used instead of related codes?

I63.422 should be used when the cerebral infarction is confirmed to be due to an embolism affecting the left anterior cerebral artery, as opposed to thrombosis or infarctions in other cerebral arteries.

What documentation supports I63.422?

Documentation should include clinical findings, imaging results confirming the infarction, and details regarding the embolic source, such as echocardiograms or vascular studies.