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2025 ICD-10-CM code I63.2

Cerebral infarction due to an unspecified occlusion or stenosis of the precerebral arteries.

Use additional codes to identify any underlying conditions contributing to the cerebral infarction, such as hypertension (I10-I1A), tobacco use (Z72.0), or history of tobacco dependence (Z87.891). Do not use I63.2 if the specific cause of the occlusion or stenosis is known (e.g., thrombosis or embolism).

Medical necessity for the diagnosis and management of cerebral infarction is established by the patient's presenting signs and symptoms, along with confirmatory neuroimaging findings. The specific treatment approach and intensity of care are dictated by the severity of the stroke and the patient's overall clinical status.

Diagnosis and management of cerebral infarction (stroke), including assessment of neurological deficits, ordering and interpreting diagnostic tests (e.g., CT, MRI), and initiating treatment such as thrombolytic therapy if appropriate.Secondary prevention strategies to reduce the risk of recurrent stroke are also part of clinical responsibility.

In simple words: A stroke caused by a blocked or narrowed artery in the brain, where the specific cause isn't clear.

This code describes a cerebral infarction (stroke) resulting from the blockage (occlusion) or narrowing (stenosis) of the arteries supplying blood to the brain.The specific cause of the occlusion or stenosis is not known.

Example 1: A 65-year-old patient presents with sudden onset of right-sided weakness and slurred speech. Imaging reveals a cerebral infarction in the left hemisphere, and the physician determines it's due to occlusion or stenosis of a precerebral artery, but the specific etiology (thrombosis, embolism, etc.) is unknown. I63.2 is used., A 70-year-old patient with a history of hypertension and smoking experiences dizziness and loss of balance.A cerebral infarction is confirmed through imaging, but further investigation is inconclusive about the specific nature of the precerebral artery blockage. I63.2 is assigned., A patient arrives at the emergency room with symptoms suggestive of a stroke.While imaging confirms a cerebral infarction, the specific type of occlusion or stenosis in the precerebral arteries is not identifiable through available diagnostic methods.The physician uses I63.2 to document the condition.

Documentation should include details of the neurological examination, neuroimaging findings (CT, MRI) confirming the cerebral infarction, and any available information about the location and likely cause of the vascular occlusion or stenosis.Risk factors for cerebrovascular disease, such as hypertension, smoking, and history of prior stroke or TIA, should also be documented.

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