ICD-10 Coding for Cerebral Atherosclerosis(I67.2)
Complete ICD-10-CM coding and documentation guide for Cerebral Atherosclerosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Cerebral Atherosclerosis
I67.2Primary Range
Cerebral atherosclerosis
Primary code for documenting cerebral atherosclerosis unless acute stroke is present.
Personal history of TIA/cerebral infarction without residuals
Used when there is a history of stroke without current residuals.
Key Information: ICD-10 code for cerebral atherosclerosis
Essential facts and insights about Cerebral Atherosclerosis
Primary ICD-10-CM Code for cerebral atherosclerosis
Decision Criteria
clinical Criteria
- Presence of atherosclerotic plaque in cerebral arteries confirmed by imaging.
coding Criteria
- Use I67.2 when no acute stroke is present.
Applicable To
- Atherosclerosis of cerebral arteries
Excludes
- Cerebral infarction (I63.-)
Clinical Validation Requirements
- Imaging findings such as MRI or CT showing plaque in cerebral arteries
- Clinical symptoms like TIA or stroke linked to atherosclerosis
Code-Specific Risks
- Incorrectly using I67.2 when an acute stroke is present.
Coding Notes
- Ensure documentation specifies cerebral arteries and not just general arteriosclerosis.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Cerebral infarction
I63.0-I63.9Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Occlusion and stenosis of carotid artery
I65.2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Cerebral Atherosclerosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I67.2.
Impact
Clinical: Incomplete clinical picture., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Always document the affected side as dominant or non-dominant., Include laterality in all relevant notes.
Impact
Reimbursement: Incorrect DRG assignment leading to lower reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Sequence I63.x first for acute stroke.
Impact
Using I67.2 as primary when an acute stroke is present.
Mitigation Strategy
Educate coders on proper sequencing rules.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Cerebral Atherosclerosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Cerebral Atherosclerosis
Use these documentation templates to ensure complete and accurate documentation for Cerebral Atherosclerosis. These templates include all required elements for proper coding and billing.
Acute stroke due to cerebral atherosclerosis
Specialty: NeurologyRequired Elements
- History of present illness
- Imaging findings
- Residual deficits
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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