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ICD-10 Guide
ICD-10 CodesI63.532

I63.532

Billable

Cerebral infarction due to unspecified occlusion or stenosis of left posterior cerebral artery

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

Code Description

ICD-10 I63.532 is a billable code used to indicate a diagnosis of cerebral infarction due to unspecified occlusion or stenosis of left posterior cerebral artery.

Key Diagnostic Point:

Cerebral infarction due to unspecified occlusion or stenosis of the left posterior cerebral artery (PCA) occurs when blood flow to the PCA is interrupted, leading to ischemia and subsequent tissue death in the areas supplied by this artery. Clinically, patients may present with visual disturbances, sensory deficits, or cognitive impairments, depending on the extent and location of the infarction. The PCA supplies blood to the occipital lobe, inferior temporal lobe, and parts of the thalamus, making its occlusion particularly impactful on visual processing and spatial awareness. Disease progression 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 MRI or CT scans to confirm the presence of an infarct and to rule out other potential causes of neurological deficits. Additionally, vascular imaging may be necessary to identify the specific occlusion or stenosis affecting the PCA. Early diagnosis and intervention are crucial to minimize long-term neurological deficits and improve patient outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires imaging and clinical correlation to confirm diagnosis.
  • Treatment complexity: Management may involve anticoagulation, rehabilitation, and monitoring.
  • Documentation requirements: Detailed clinical notes and imaging reports are essential.
  • Coding specificity: Requires precise identification of the artery involved and the nature of occlusion.

Audit Risk Factors

  • Common coding errors: Misidentification of the artery or occlusion type.
  • Documentation gaps: Incomplete clinical notes or lack of imaging reports.
  • Billing challenges: Potential denials due to insufficient documentation or unclear 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

Radiology

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, including those coded as I63.532, have significant clinical implications, affecting patient quality of life and healthcare utilization. The prevalence of strokes contributes to a substantial burden on healthcare systems, necessitating effective management strategies. Understanding the epidemiology of strokes, particularly in relation to occlusions of major cerebral arteries, is essential for improving population health outcomes and implementing quality measures aimed at reducing stroke incidence and improving recovery rates.

ICD-9 vs ICD-10

Cerebral infarctions, including those coded as I63.532, have significant clinical implications, affecting patient quality of life and healthcare utilization. The prevalence of strokes contributes to a substantial burden on healthcare systems, necessitating effective management strategies. Understanding the epidemiology of strokes, particularly in relation to occlusions of major cerebral arteries, is essential for improving population health outcomes and implementing quality measures aimed at reducing stroke incidence and improving recovery rates.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that all relevant imaging and clinical evaluations are documented. Common denials may arise from insufficient detail in clinical notes or failure to provide supporting imaging reports. Best practices include thorough documentation of patient history, clinical findings, and treatment plans, as well as ensuring that the coding accurately reflects the clinical scenario to avoid potential audits and denials.

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 I63.532?

I63.532 covers cerebral infarctions resulting from unspecified occlusions or stenosis of the left posterior cerebral artery. This includes ischemic strokes where the exact cause of the occlusion is not clearly defined, necessitating further investigation.

When should I63.532 be used instead of related codes?

I63.532 should be used when the occlusion or stenosis of the left PCA is confirmed but not specified. If the occlusion type is known (e.g., embolic or thrombotic), a more specific code should be selected.

What documentation supports I63.532?

Documentation must include clinical findings, imaging results confirming the cerebral infarction, and any relevant patient history that supports the diagnosis of occlusion or stenosis of the left PCA.