ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesI63.431

I63.431

Billable

Cerebral infarction due to embolism of right posterior cerebral artery

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

Code Description

ICD-10 I63.431 is a billable code used to indicate a diagnosis of cerebral infarction due to embolism of right posterior cerebral artery.

Key Diagnostic Point:

Cerebral infarction due to embolism of the right posterior cerebral artery is a type of ischemic stroke that occurs when a blood clot or embolus obstructs blood flow to the right posterior cerebral artery (PCA). This artery supplies blood to the occipital lobe, which is responsible for visual processing, and parts of the temporal lobe. Clinical presentation may include sudden onset of visual disturbances, such as homonymous hemianopia, and potential cognitive deficits. The progression of the disease can vary; some patients may experience rapid deterioration, while others may have a more gradual onset of symptoms. Diagnostic considerations include neuroimaging techniques such as CT or MRI to confirm the presence of an infarct and to rule out hemorrhagic stroke. Additionally, vascular imaging may be utilized to identify the source of the embolism, which could be from cardiac sources such as atrial fibrillation or from atherosclerotic disease. Early diagnosis and intervention are crucial to minimize neurological damage and improve outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

  • Common coding errors: Misidentification of the affected artery or embolic source.
  • Documentation gaps: Incomplete clinical notes or lack of imaging results.
  • Billing challenges: Denials may occur if documentation does not clearly support the diagnosis.

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 infarction due to embolism significantly impacts population health, contributing to morbidity and mortality associated with stroke. It is a leading cause of long-term disability, affecting quality of life and healthcare utilization patterns. Understanding the epidemiology of this condition is vital for developing preventive strategies and improving clinical outcomes through timely intervention and rehabilitation efforts.

ICD-9 vs ICD-10

Cerebral infarction due to embolism significantly impacts population health, contributing to morbidity and mortality associated with stroke. It is a leading cause of long-term disability, affecting quality of life and healthcare utilization patterns. Understanding the epidemiology of this condition is vital for developing preventive strategies and improving clinical outcomes through timely intervention and rehabilitation efforts.

Reimbursement & Billing Impact

Reimbursement considerations include the need for clear evidence of the embolic source and the clinical impact of the stroke. Common denials may arise if the documentation does not adequately reflect the complexity of the case or if there are discrepancies in the coding. Best practices include ensuring that all imaging studies and clinical evaluations are well-documented and that the coding aligns with the clinical findings.

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 I63.431?

I63.431 specifically covers cerebral infarctions resulting from embolisms affecting the right posterior cerebral artery. This includes conditions such as embolic strokes originating from cardiac sources or atherosclerotic plaques.

When should I63.431 be used instead of related codes?

I63.431 should be used when there is clear evidence of an embolic stroke affecting the right PCA. It is distinct from codes for thrombosis or other types of strokes where the etiology is different.

What documentation supports I63.431?

Documentation should include clinical findings, imaging results confirming the infarction, and any relevant history of embolic sources such as atrial fibrillation or recent cardiac events.