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2025 ICD-10-CM code I67.85

Hereditary cerebrovascular diseases

Use additional codes to specify the type of hereditary cerebrovascular disease, if known (e.g., I67.850 for CADASIL).Do not use I67.85 with codes for acquired cerebrovascular diseases (e.g., I63.-).

Medical necessity is established by the presence of signs, symptoms, or a family history suggestive of a hereditary cerebrovascular disease. Confirmation through imaging studies like MRI and, where appropriate, genetic testing, further supports the medical necessity of diagnostic and management services.

Diagnosis and management of hereditary cerebrovascular diseases fall under the purview of neurologists, vascular neurologists, and geneticists. These specialists play a crucial role in accurately diagnosing these conditions through detailed clinical evaluation, neuroimaging studies, and genetic testing. They are also responsible for developing and implementing appropriate management strategies, which often involve a multidisciplinary approach.

In simple words: This code encompasses inherited conditions affecting blood vessels in the brain.

Hereditary cerebrovascular diseases

Example 1: A 35-year-old patient presents with recurrent migraines, cognitive decline, and a family history of stroke. After thorough evaluation, including MRI and genetic testing, a diagnosis of CADASIL (Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy) is confirmed, leading to the use of code I67.850., A 50-year-old individual experiences recurrent transient ischemic attacks (TIAs) and has a family history suggestive of hereditary cerebrovascular disease. Following comprehensive clinical and diagnostic assessments, the physician assigns I67.85 to document the diagnosed condition., A patient with confirmed familial cerebral cavernous malformation (FCCM), a genetic disorder characterized by abnormal blood vessel formation in the brain, is documented with code I67.85 to reflect the hereditary nature of the condition.

Thorough documentation is crucial for accurate coding. This should include detailed family history, clinical findings (e.g., neurological examination results, symptoms), imaging studies (e.g., MRI, CT scan reports), and if available, genetic testing results confirming the diagnosis.

** Code I67.85 is a billable ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.Refer to iFrameAI for more specific clinical scenarios and code application guidance.

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