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ICD-10 Guide
ICD-10 CodesI66.2

I66.2

Non-billable

Occlusion and stenosis of posterior cerebral artery

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

Code Description

ICD-10 I66.2 is a used to indicate a diagnosis of occlusion and stenosis of posterior cerebral artery.

Key Diagnostic Point:

Occlusion and stenosis of the posterior cerebral artery (PCA) can lead to significant neurological deficits due to compromised blood flow to the occipital lobe and parts of the temporal lobe. Clinically, patients may present with visual disturbances, such as homonymous hemianopia, and cognitive impairments, including memory loss or difficulty in spatial awareness. The PCA is a critical vessel that branches from the basilar artery and supplies blood to the posterior part of the brain. Disease progression may involve gradual narrowing (stenosis) or complete blockage (occlusion) due to atherosclerosis, embolism, or other vascular conditions. Diagnostic considerations include imaging studies such as MRI or CT angiography to visualize the blood flow and identify the extent of occlusion or stenosis. Early diagnosis and intervention are crucial to prevent irreversible brain damage and improve patient outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires advanced imaging and clinical correlation.
  • Treatment complexity: May involve medical management, surgical intervention, or endovascular procedures.
  • Documentation requirements: Detailed clinical notes and imaging reports are essential.
  • Coding specificity: Requires precise coding to differentiate from other cerebrovascular conditions.

Audit Risk Factors

  • Common coding errors: Misidentifying the affected artery or failing to document the severity of occlusion.
  • Documentation gaps: Incomplete clinical notes regarding symptoms or imaging findings.
  • Billing challenges: Denials may arise from insufficient documentation supporting the medical necessity of procedures.

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

Interventional 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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of I66.2 lies in its potential to cause severe neurological deficits, impacting patient quality of life and increasing healthcare utilization. Understanding the epidemiology of posterior cerebral artery occlusion is crucial, as it can affect various populations differently, particularly those with risk factors such as hypertension, diabetes, and hyperlipidemia. Quality measures related to timely diagnosis and intervention can improve outcomes and reduce the burden on healthcare systems.

ICD-9 vs ICD-10

The clinical significance of I66.2 lies in its potential to cause severe neurological deficits, impacting patient quality of life and increasing healthcare utilization. Understanding the epidemiology of posterior cerebral artery occlusion is crucial, as it can affect various populations differently, particularly those with risk factors such as hypertension, diabetes, and hyperlipidemia. Quality measures related to timely diagnosis and intervention can improve outcomes and reduce the burden on healthcare systems.

Reimbursement & Billing Impact

Reimbursement considerations include the complexity of the case and the interventions performed. Common denials may occur if documentation does not clearly support the diagnosis or if the medical necessity of procedures is not established. Coders should ensure that all relevant clinical details are captured to support the billed services and reduce the risk of audits.

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 I66.2?

I66.2 encompasses occlusion and stenosis of the posterior cerebral artery, which may result from atherosclerosis, embolic events, or other vascular disorders affecting cerebral circulation.

When should I66.2 be used instead of related codes?

I66.2 should be used when there is a confirmed diagnosis of occlusion or stenosis specifically affecting the posterior cerebral artery, differentiating it from anterior or middle cerebral artery conditions.

What documentation supports I66.2?

Documentation should include clinical findings, imaging results showing the occlusion or stenosis, and any relevant patient history that supports the diagnosis.