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ICD-10 Guide
ICD-10 CodesI63.449

I63.449

Billable

Cerebral infarction due to embolism of unspecified cerebellar artery

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

Code Description

ICD-10 I63.449 is a billable code used to indicate a diagnosis of cerebral infarction due to embolism of unspecified cerebellar artery.

Key Diagnostic Point:

Cerebral infarction due to embolism of an unspecified cerebellar artery is a condition characterized by the obstruction of blood flow to the cerebellum, resulting from an embolus that lodges in one of the cerebellar arteries. Clinically, patients may present with symptoms such as dizziness, ataxia, nausea, and coordination difficulties, which are indicative of cerebellar dysfunction. The cerebellum is responsible for motor control, and its impairment can lead to significant functional limitations. The disease progression can vary; some patients may experience transient ischemic attacks (TIAs) before a full-blown infarction occurs, while others may present acutely. Diagnostic considerations include neuroimaging techniques such as CT or MRI to visualize the infarct and assess the extent of damage. Additionally, vascular imaging may be necessary to identify the source of the embolism, which could be cardiac in origin or from atherosclerotic disease. Understanding the underlying cause is crucial for effective management and prevention of future strokes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires imaging and clinical correlation to confirm the diagnosis.
  • Treatment complexity: Management may involve anticoagulation, rehabilitation, and addressing risk factors.
  • Documentation requirements: Detailed clinical notes and imaging reports are necessary.
  • Coding specificity: Requires precise identification of the embolic source and affected artery.

Audit Risk Factors

  • Common coding errors: Misidentification of the affected artery or embolic source.
  • Documentation gaps: Incomplete clinical notes regarding symptoms and imaging findings.
  • Billing challenges: Potential denials due to lack of specificity or insufficient documentation.

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 significantly impact population health, contributing to morbidity and mortality rates associated with stroke. Effective management of I63.449 can improve patient outcomes and reduce healthcare utilization. Quality measures focusing on timely diagnosis and treatment of strokes are crucial for improving care delivery. Epidemiologically, understanding the prevalence of embolic strokes can guide public health initiatives aimed at reducing risk factors and improving cardiovascular health.

ICD-9 vs ICD-10

Cerebral infarctions significantly impact population health, contributing to morbidity and mortality rates associated with stroke. Effective management of I63.449 can improve patient outcomes and reduce healthcare utilization. Quality measures focusing on timely diagnosis and treatment of strokes are crucial for improving care delivery. Epidemiologically, understanding the prevalence of embolic strokes can guide public health initiatives aimed at reducing risk factors and improving cardiovascular health.

Reimbursement & Billing Impact

reimbursement and to be aware of potential audits that may arise from coding ambiguities.

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 I63.449?

I63.449 covers cerebral infarctions specifically due to embolism affecting the cerebellar arteries, without specifying which artery is involved. It is crucial to differentiate this from other types of strokes, such as those caused by thrombosis or hemorrhage.

When should I63.449 be used instead of related codes?

I63.449 should be used when the embolism's source is unknown or unspecified, and the clinical presentation aligns with a cerebellar infarction. If the specific artery is known, related codes such as I63.441 or I63.448 should be selected.

What documentation supports I63.449?

Documentation should include clinical findings, imaging results confirming the cerebral infarction, and any relevant history of embolic events or cardiovascular conditions that may have contributed to the stroke.