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ICD-10 Guide
ICD-10 CodesI67.858

I67.858

Billable

Other hereditary cerebrovascular disease

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

Code Description

ICD-10 I67.858 is a billable code used to indicate a diagnosis of other hereditary cerebrovascular disease.

Key Diagnostic Point:

I67.858 refers to other hereditary cerebrovascular diseases, which encompass a variety of genetic conditions that predispose individuals to cerebrovascular events such as strokes or transient ischemic attacks. These conditions may involve structural abnormalities in blood vessels, such as arteriovenous malformations or hereditary hemorrhagic telangiectasia, which can lead to increased risk of hemorrhagic strokes. The clinical presentation often includes neurological deficits, headaches, and seizures, depending on the specific vascular abnormality and its location in the brain. The anatomy involved primarily includes the cerebral arteries and veins, which can be affected by genetic mutations that alter their structure and function. Disease progression can vary significantly, with some patients experiencing early-onset cerebrovascular incidents while others may remain asymptomatic for years. Diagnostic considerations include imaging studies such as MRI or CT scans to identify vascular malformations, along with genetic testing to confirm hereditary conditions. Early diagnosis and management are crucial to prevent severe complications and improve patient outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires advanced imaging and genetic testing.
  • Treatment complexity: May involve multidisciplinary approaches including neurology, genetics, and vascular surgery.
  • Documentation requirements: Detailed clinical history and imaging results are essential.
  • Coding specificity: Requires precise identification of the hereditary condition.

Audit Risk Factors

  • Common coding errors: Misidentification of hereditary conditions.
  • Documentation gaps: Lack of comprehensive genetic testing results.
  • Billing challenges: Potential denials due to insufficient documentation of hereditary nature.

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

Genetics

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

The clinical significance of I67.858 lies in its potential to prevent serious cerebrovascular events through early identification and management of hereditary conditions. Understanding these disorders can improve population health outcomes by reducing the incidence of strokes in genetically predisposed individuals. Quality measures may include tracking the frequency of genetic testing and the timely management of identified cerebrovascular risks, ultimately influencing healthcare utilization patterns and resource allocation.

ICD-9 vs ICD-10

The clinical significance of I67.858 lies in its potential to prevent serious cerebrovascular events through early identification and management of hereditary conditions. Understanding these disorders can improve population health outcomes by reducing the incidence of strokes in genetically predisposed individuals. Quality measures may include tracking the frequency of genetic testing and the timely management of identified cerebrovascular risks, ultimately influencing healthcare utilization patterns and resource allocation.

Reimbursement & Billing Impact

Reimbursement may vary based on the complexity of the case and the payer's policies. Common denials can occur if documentation does not clearly establish the hereditary nature of the cerebrovascular disease. Best practices include ensuring all relevant clinical information is included in the medical record and verifying coverage for genetic testing with the payer prior to performing the tests.

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 I67.858?

I67.858 includes hereditary conditions such as cerebral arteriovenous malformations, hereditary hemorrhagic telangiectasia, and other genetic syndromes that affect cerebrovascular integrity, leading to increased stroke risk.

When should I67.858 be used instead of related codes?

I67.858 should be used when a specific hereditary cerebrovascular condition is diagnosed, particularly when genetic testing confirms the hereditary nature of the cerebrovascular disease, differentiating it from acquired conditions.

What documentation supports I67.858?

Documentation should include clinical notes detailing the patient's history, results from imaging studies confirming vascular abnormalities, and genetic testing results that establish the hereditary nature of the condition.