2025 ICD-10-CM code I68
(Valid) Effective Date: N/A Diseases of the circulatory system - Cerebrovascular Diseases 9 Feed
Cerebrovascular disorders in diseases classified elsewhere.
Medical necessity for I68 requires demonstrating the direct link between the underlying condition and the cerebrovascular disorder. Clear documentation supporting this connection is crucial for appropriate reimbursement.
The clinician is responsible for establishing the link between the cerebrovascular disorder and the underlying disease, ensuring accurate documentation of both conditions.
In simple words: This code signifies a problem with blood vessels in the brain that arises due to another health condition.
This code encompasses cerebrovascular disorders occurring in the context of other systemic diseases, indicating that the cerebrovascular issue is a manifestation or complication of the primary condition.
Example 1: A patient with systemic lupus erythematosus (SLE) experiences a stroke. The SLE is the primary diagnosis, and I68 is used to indicate the cerebrovascular disorder secondary to SLE., A patient with hyperthyroidism develops cerebral ischemia. I68 is used to denote the cerebrovascular disorder in the setting of hyperthyroidism., A patient with endocarditis experiences multiple cerebral emboli leading to stroke. The underlying endocarditis is the primary diagnosis, with I68 representing the cerebrovascular complication.
Documentation must clearly establish the presence of a cerebrovascular disorder and its association with a pre-existing systemic disease. Details of both conditions should be documented, including diagnostic tests, symptoms, and treatment plans.
** Excludes1: traumatic intracranial hemorrhage (S06.-). Use additional code to identify presence of: alcohol abuse and dependence (F10.-), exposure to environmental tobacco smoke (Z77.22), history of tobacco dependence (Z87.891), hypertension (I10-I1A), occupational exposure to environmental tobacco smoke (Z57.31), tobacco dependence (F17.-), tobacco use (Z72.0). Excludes2: certain conditions originating in the perinatal period (P04-P96), certain infectious and parasitic diseases (A00-B99), complications of pregnancy, childbirth, and the puerperium (O00-O9A), congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99), endocrine, nutritional and metabolic diseases (E00-E88), injury, poisoning and certain other consequences of external causes (S00-T88), neoplasms (C00-D49), symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94), systemic connective tissue disorders (M30-M36), transient cerebral ischemic attacks and related syndromes (G45.-).
- Payment Status: Active
- Specialties:Neurology, Internal Medicine, Cardiology, Vascular Surgery
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Physician's Office