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 CodesI63.523

I63.523

Billable

Cerebral infarction due to unspecified occlusion or stenosis of bilateral anterior cerebral arteries

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

Code Description

ICD-10 I63.523 is a billable code used to indicate a diagnosis of cerebral infarction due to unspecified occlusion or stenosis of bilateral anterior cerebral arteries.

Key Diagnostic Point:

I63.523 refers to cerebral infarction due to unspecified occlusion or stenosis of bilateral anterior cerebral arteries. This condition arises when blood flow to the anterior cerebral arteries is obstructed, leading to ischemia and subsequent infarction of brain tissue. Clinically, patients may present with symptoms such as weakness or paralysis of the lower limbs, sensory deficits, and cognitive impairments, depending on the extent of the infarction and the areas of the brain affected. The anterior cerebral arteries supply the medial portions of the frontal lobes and the superior medial parietal lobes, making their occlusion particularly impactful on motor and sensory functions. Disease progression can vary; some patients may experience rapid deterioration, while others may have a more gradual onset of symptoms. Diagnostic considerations include neuroimaging studies such as CT or MRI scans to confirm the presence of infarction and to rule out other causes of neurological deficits. Additionally, vascular imaging may be necessary to assess the degree of occlusion or stenosis in the anterior cerebral arteries.

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, rehabilitation, and management of risk factors.
  • Documentation requirements: Detailed clinical notes and imaging reports are essential.
  • Coding specificity: Requires precise documentation of the occlusion or stenosis.

Audit Risk Factors

  • Common coding errors: Misidentification of the specific artery involved.
  • Documentation gaps: Incomplete clinical notes regarding the patient's symptoms and imaging findings.
  • Billing challenges: Potential denials 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 infarctions significantly impact population health, contributing to morbidity and mortality rates associated with stroke. Understanding the epidemiology of this condition helps in developing preventive strategies and improving quality measures in healthcare. Increased awareness and timely intervention can reduce healthcare utilization patterns associated with complications from cerebral infarctions.

ICD-9 vs ICD-10

Cerebral infarctions significantly impact population health, contributing to morbidity and mortality rates associated with stroke. Understanding the epidemiology of this condition helps in developing preventive strategies and improving quality measures in healthcare. Increased awareness and timely intervention can reduce healthcare utilization patterns associated with complications from cerebral infarctions.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that all imaging and diagnostic tests are properly documented and linked to the diagnosis. Common denials may arise from insufficient documentation or lack of clarity in the clinical notes. It is crucial to follow coding best practices, including using the most specific codes available and ensuring that all services rendered are justified by the patient's clinical condition.

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 I63.523?

I63.523 covers cerebral infarction resulting from occlusion or stenosis of the bilateral anterior cerebral arteries, which may be due to thromboembolic events or atherosclerosis. It is important to differentiate this from infarctions caused by other vascular issues.

When should I63.523 be used instead of related codes?

Use I63.523 when the occlusion or stenosis of the anterior cerebral arteries is unspecified, and the clinical presentation aligns with cerebral infarction. If the specific artery is known, more specific codes should be utilized.

What documentation supports I63.523?

Documentation should include detailed clinical notes outlining the patient's symptoms, results of neuroimaging studies confirming cerebral infarction, and any relevant vascular studies indicating occlusion or stenosis.