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ICD-10 Guide
ICD-10 CodesI67.848

I67.848

Billable

Other cerebrovascular vasospasm and vasoconstriction

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

Code Description

ICD-10 I67.848 is a billable code used to indicate a diagnosis of other cerebrovascular vasospasm and vasoconstriction.

Key Diagnostic Point:

I67.848 refers to other cerebrovascular vasospasm and vasoconstriction, conditions characterized by the narrowing of blood vessels in the brain, which can lead to reduced blood flow and potential ischemic events. Clinically, patients may present with symptoms such as headaches, transient ischemic attacks (TIAs), or stroke-like symptoms, often following subarachnoid hemorrhage or other cerebrovascular incidents. The anatomy involved primarily includes the cerebral arteries, which can undergo spasms due to various triggers, including stress, medications, or underlying vascular diseases. Disease progression can vary; in some cases, vasospasm may resolve spontaneously, while in others, it can lead to significant neurological deficits or complications if not managed promptly. Diagnostic considerations include imaging studies such as CT or MRI to assess blood flow and rule out other causes of neurological symptoms. Angiography may also be utilized to visualize vascular changes directly.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors
  • Documentation gaps
  • Billing challenges

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

Emergency Medicine

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 I67.848 lies in its potential to lead to serious neurological outcomes if not identified and treated promptly. Understanding the epidemiology of cerebrovascular vasospasm is crucial for population health, as it affects a significant number of patients, particularly those with a history of cerebrovascular incidents. Quality measures may include timely diagnosis and intervention, which can improve healthcare utilization patterns and reduce the burden of stroke-related morbidity.

ICD-9 vs ICD-10

The clinical significance of I67.848 lies in its potential to lead to serious neurological outcomes if not identified and treated promptly. Understanding the epidemiology of cerebrovascular vasospasm is crucial for population health, as it affects a significant number of patients, particularly those with a history of cerebrovascular incidents. Quality measures may include timely diagnosis and intervention, which can improve healthcare utilization patterns and reduce the burden of stroke-related morbidity.

Reimbursement & Billing Impact

Reimbursement considerations include the need for clear evidence of medical necessity, particularly if imaging or other diagnostic tests are performed. Common denials may arise from insufficient documentation or failure to demonstrate the clinical necessity of the services provided. Best practices include ensuring that all clinical notes are detailed and that coding aligns with the documented diagnosis.

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 I67.848?

I67.848 encompasses various forms of cerebrovascular vasospasm and vasoconstriction not classified elsewhere, including those induced by medications, stress, or other non-traumatic causes. It is essential to differentiate these from vasospasm due to subarachnoid hemorrhage or other specific conditions.

When should I67.848 be used instead of related codes?

I67.848 should be used when the vasospasm or vasoconstriction is not directly attributable to a known cause such as subarachnoid hemorrhage or other specified cerebrovascular conditions. Accurate clinical documentation is crucial for appropriate code selection.

What documentation supports I67.848?

Documentation should include clinical findings, imaging results, and any relevant history that supports the diagnosis of cerebrovascular vasospasm or vasoconstriction. Detailed notes on the patient's symptoms, treatment response, and any diagnostic procedures performed are essential.