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ICD-10 Guide
ICD-10 CodesI63.443

I63.443

Billable

Cerebral infarction due to embolism of bilateral cerebellar arteries

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

Code Description

ICD-10 I63.443 is a billable code used to indicate a diagnosis of cerebral infarction due to embolism of bilateral cerebellar arteries.

Key Diagnostic Point:

Cerebral infarction due to embolism of bilateral cerebellar arteries is a critical condition characterized by the obstruction of blood flow to the cerebellum, resulting in tissue death. The cerebellum, located at the back of the brain, is responsible for coordination, balance, and motor control. An embolism can occur when a blood clot or debris from another part of the body travels through the bloodstream and lodges in the cerebellar arteries. Clinical presentation may include dizziness, ataxia, nausea, and coordination difficulties. Disease progression can vary; some patients may experience rapid onset of symptoms, while others may have a more gradual decline. Diagnostic considerations include neuroimaging techniques such as CT or MRI scans to visualize the infarction and assess the extent of damage. Additionally, a thorough evaluation of cardiovascular risk factors, such as atrial fibrillation or carotid artery disease, is essential for understanding the underlying causes and potential for recurrence.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires imaging and assessment of neurological function.
  • 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 cerebral infarctions.

Audit Risk Factors

  • Common coding errors: Misidentification of the affected arteries or type of infarction.
  • Documentation gaps: Incomplete clinical notes or lack of imaging reports.
  • Billing challenges: Potential denials due to insufficient documentation or incorrect coding.

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 embolism of bilateral cerebellar arteries have significant clinical implications, affecting patient mobility and quality of life. The condition contributes to the overall burden of stroke-related morbidity and mortality in the population. Understanding the epidemiology of this condition helps healthcare providers implement preventive measures and improve management strategies, ultimately enhancing patient outcomes and reducing healthcare utilization.

ICD-9 vs ICD-10

Cerebral infarctions due to embolism of bilateral cerebellar arteries have significant clinical implications, affecting patient mobility and quality of life. The condition contributes to the overall burden of stroke-related morbidity and mortality in the population. Understanding the epidemiology of this condition helps healthcare providers implement preventive measures and improve management strategies, ultimately enhancing patient outcomes and reducing healthcare utilization.

Reimbursement & Billing Impact

reimbursement and to maintain accurate coding practices to minimize audit risks.

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 I63.443?

I63.443 specifically covers cerebral infarctions resulting from embolisms affecting both cerebellar arteries. This includes conditions such as embolic strokes originating from cardiac sources or large vessel disease.

When should I63.443 be used instead of related codes?

I63.443 should be used when there is clear evidence of bilateral cerebellar artery involvement due to embolism. If the infarction is unilateral or due to other causes, different codes should be selected.

What documentation supports I63.443?

Documentation should include imaging studies confirming bilateral cerebellar infarction, clinical assessments detailing neurological deficits, and a comprehensive review of the patient's cardiovascular history.