Cerebral infarction due to unspecified occlusion or stenosis of left middle cerebral artery
ICD-10 I63.512 is a billable code used to indicate a diagnosis of cerebral infarction due to unspecified occlusion or stenosis of left middle cerebral artery.
Cerebral infarction due to unspecified occlusion or stenosis of the left middle cerebral artery (MCA) is a critical condition characterized by the interruption of blood flow to the left MCA, leading to ischemic damage in the corresponding cerebral hemisphere. Clinically, patients may present with sudden onset of neurological deficits, including weakness or paralysis on the right side of the body, speech difficulties (aphasia), and sensory loss. The left MCA supplies a significant portion of the lateral aspect of the cerebral hemisphere, which is responsible for motor and sensory functions of the contralateral side. Disease progression can vary; some patients may experience transient ischemic attacks (TIAs) before a full-blown stroke occurs. Diagnostic considerations include neuroimaging (CT or MRI) to confirm the presence of an infarct and to rule out hemorrhagic stroke. Risk factors include hypertension, diabetes, hyperlipidemia, and lifestyle factors such as smoking and obesity. Early recognition and management are crucial to minimize long-term disability and improve outcomes.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
I63.512 covers cerebral infarction specifically due to occlusion or stenosis of the left middle cerebral artery, which may arise from various etiologies such as atherosclerosis or embolism. It does not specify the cause of the occlusion, allowing for broader application in cases where the exact mechanism is unclear.
I63.512 should be used when the cerebral infarction is confirmed to be due to occlusion or stenosis of the left MCA, but the specific cause is not documented. If the cause is known, such as embolism or thrombosis, more specific codes should be selected.
Documentation should include a detailed clinical assessment, imaging results confirming the infarction, and notes indicating the absence of specific occlusion causes. Neurological assessments and treatment plans should also be documented to support the diagnosis.
