2025 ICD-10-CM code I67
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Cerebrovascular diseases - Other cerebrovascular diseases Diseases of the circulatory system (I00-I99) Feed
Other cerebrovascular diseases; excludes occlusion and stenosis of cerebral or precerebral arteries causing cerebral infarction, and sequelae of listed conditions.
Medical necessity is established by the presence of clinical symptoms and signs consistent with a cerebrovascular event or disorder.Diagnostic testing is necessary to confirm the diagnosis and determine the etiology of the cerebrovascular event.The level of medical necessity is dependent on the severity of the symptoms and the treatment plan developed by the attending physician.
Diagnosis and management of cerebrovascular diseases. This involves obtaining a thorough patient history, conducting a comprehensive neurological examination, ordering and interpreting diagnostic tests (such as imaging studies like CT scans, MRIs, or angiograms), and initiating appropriate treatment (medical management, surgery, or interventional neuroradiology) based on the specific diagnosis and severity of the condition.
In simple words: This code is for problems with the blood vessels in the brain that aren't specifically listed elsewhere.It means there's a problem with blood flow to the brain, which could cause damage and symptoms like trouble speaking, moving, or remembering things.
This code encompasses cerebrovascular diseases not otherwise specified, excluding conditions like occlusion and stenosis of cerebral or precerebral arteries leading to cerebral infarction (I63.2-I63.5-), and sequelae of these conditions (I69.8).It covers a range of disorders affecting the blood vessels of the brain, resulting in compromised blood supply and potential brain damage.Specific examples could include cerebral aneurysms, arteriovenous malformations, hypertensive encephalopathy, or other vascular disorders affecting the brain.
Example 1: A 65-year-old male presents with sudden onset of weakness on his left side and slurred speech.CT scan reveals a small lacunar infarct in the right hemisphere.The diagnosis is a cerebrovascular accident (CVA) due to an unspecified cause, coded as I67., A 70-year-old female with a history of hypertension is diagnosed with cerebral vasospasm following a subarachnoid hemorrhage.This is coded as I67.84., A 40-year-old presents with a family history of moyamoya disease and is diagnosed with this rare cerebrovascular disorder.This would be coded as I67.85.
Detailed history and physical examination findings, including neurological assessment.Neuroimaging results (CT, MRI, MRA, angiography). Laboratory data (blood count, coagulation studies).Documentation of any relevant risk factors (hypertension, smoking, hyperlipidemia).
** This code is broad and requires careful clinical correlation with the patient's presentation and diagnostic findings.Always select the most specific code possible based on the available information.Consult the latest ICD-10-CM coding manuals for comprehensive guidance and updates.
- Payment Status: Active
- Specialties:Neurology, Neurosurgery, Vascular Surgery
- Place of Service:Office, Hospital (Inpatient and Outpatient), Emergency Room, Skilled Nursing Facility