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2025 ICD-10-CM code I67.89

Other cerebrovascular disease.

This code should only be used when a more specific cerebrovascular diagnosis cannot be made. Careful review of the patient’s clinical picture and diagnostic findings are necessary to ensure accurate coding.

The medical necessity for using this code hinges on the physician's clinical judgment that the patient's signs and symptoms are best explained by a cerebrovascular disease when other specific cerebrovascular conditions have been ruled out. It is crucial to document the rationale for this diagnosis and any associated medical interventions.

Diagnosis and management of the cerebrovascular disease falls under the purview of neurologists, or internists with specialization in vascular diseases, and potentially other specialists depending on the specific manifestation of the disease.

In simple words: This code represents a cerebrovascular disease that is not otherwise specified.

Other cerebrovascular disease

Example 1: A patient presents with dizziness, blurred vision, and difficulty with balance, but diagnostic imaging does not reveal a specific cause such as stroke or aneurysm. After further investigation rules out other potential causes, the physician diagnoses the patient with a non-specific cerebrovascular disease., A patient experiences transient neurological symptoms, such as weakness on one side of the body, that resolve within 24 hours but without evidence of a specific cerebrovascular event like a TIA. The physician may use this code to document the cerebrovascular disease., A patient with a history of hypertension and atherosclerosis experiences cognitive decline without evidence of stroke or other defined cerebrovascular conditions.This code could be used to denote a cerebrovascular disease related to these underlying conditions.

Thorough documentation of the patient's symptoms, neurological examination findings, diagnostic test results (e.g., brain imaging, vascular studies), and the physician's clinical judgment supporting the diagnosis of a cerebrovascular disease is essential.Any related conditions, such as hypertension or atherosclerosis, should also be documented.

** Excludes1: Occlusion and stenosis of cerebral artery causing cerebral infarction (I63.3-I63.5-) Occlusion and stenosis of precerebral artery causing cerebral infarction (I63.2-) Excludes2: sequelae of the listed conditions (I69.8)

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