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ICD-10 Guide
ICD-10 CodesI67.84

I67.84

Non-billable

Cerebral vasospasm and vasoconstriction

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

Code Description

ICD-10 I67.84 is a used to indicate a diagnosis of cerebral vasospasm and vasoconstriction.

Key Diagnostic Point:

Cerebral vasospasm and vasoconstriction refer to the narrowing of blood vessels in the brain, which can lead to reduced blood flow and oxygen supply to brain tissues. This condition often occurs following a subarachnoid hemorrhage, where blood leaks into the space surrounding the brain, triggering a cascade of inflammatory responses that can cause the smooth muscle in the vessel walls to constrict. Clinically, patients may present with symptoms such as severe headaches, neurological deficits, or altered consciousness. The anatomy involved includes the cerebral arteries, particularly the anterior and posterior circulation systems. Disease progression can lead to ischemic strokes if not promptly identified and treated. Diagnostic considerations include imaging studies such as CT angiography or MR angiography to visualize blood flow and identify areas of vasospasm. Monitoring of neurological status and blood pressure is crucial in managing these patients effectively.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires imaging and clinical correlation to confirm diagnosis.
  • Treatment complexity: May involve critical care management and interventions such as endovascular therapy.
  • 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: Misclassification with other cerebrovascular codes.
  • Documentation gaps: Incomplete clinical notes regarding the patient's condition and treatment.
  • Billing challenges: Potential denials due to lack of supporting documentation for 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

Neurosurgery

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

Cerebral vasospasm significantly impacts patient outcomes, as it can lead to delayed cerebral ischemia and increased morbidity and mortality. Understanding the epidemiology of this condition is crucial for healthcare providers, as it affects a substantial number of patients following subarachnoid hemorrhage. Quality measures related to timely diagnosis and management of vasospasm can improve overall healthcare utilization patterns and patient care outcomes.

ICD-9 vs ICD-10

Cerebral vasospasm significantly impacts patient outcomes, as it can lead to delayed cerebral ischemia and increased morbidity and mortality. Understanding the epidemiology of this condition is crucial for healthcare providers, as it affects a substantial number of patients following subarachnoid hemorrhage. Quality measures related to timely diagnosis and management of vasospasm can improve overall healthcare utilization patterns and patient care outcomes.

Reimbursement & Billing Impact

Cerebral vasospasm significantly impacts patient outcomes, as it can lead to delayed cerebral ischemia and increased morbidity and mortality. Understanding the epidemiology of this condition is crucial for healthcare providers, as it affects a substantial number of patients following subarachnoid hemorrhage. Quality measures related to timely diagnosis and management of vasospasm can improve overall healthcare utilization patterns and patient care outcomes.

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 I67.84?

I67.84 covers conditions related to cerebral vasospasm and vasoconstriction, primarily following subarachnoid hemorrhage, but may also include other causes of cerebral ischemia due to vascular narrowing.

When should I67.84 be used instead of related codes?

I67.84 should be used when there is a clear diagnosis of cerebral vasospasm or vasoconstriction, particularly in the context of recent subarachnoid hemorrhage, distinguishing it from other cerebrovascular disorders.

What documentation supports I67.84?

Documentation should include clinical notes detailing the patient's symptoms, imaging results showing vasospasm, and treatment plans. Evidence of recent hemorrhage or other precipitating factors is also critical.