Icd 10 code for left mca stroke

A cerebral infarction is an ischemic stroke that results from a blockage or narrowing in the blood vessels that supply blood and oxygen to the brain. The causes for cerebral infarction include thrombus, embolism, or stenosis. Coding of cerebral infarction provides many challenges as the codes are specific to site and there are many different arteries that may be the culprit that fall within category I63- Cerebral infarction. It is pertinent that the coder reviews the medical record documentation for further specificity of the cerebral infarction. This can be found by reviewing radiology records, consultations, progress notes and other physician documentation.

 

A hemorrhagic conversion or transformation often complicates a cerebral infarction/ischemic stroke. This is due to many different causes one of which is tPA administration for treatment of the cerebral infarction/ischemic stroke. Codes from Categories I60-, I61-, and I62- would be reported for the intracerebral, intracranial, or subarachnoid hemorrhage identified. Again, it is pertinent to review the medical record documentation to ensure that the most specific site of hemorrhage is coded.

Both the cerebral infarction (be sure and look for specificity in the diagnosis) and the cerebral hemorrhage should be reported when present. There are no Excludes1 notes when reporting codes for both these conditions. There are also many AHA Coding Clinics that advise both codes should be reported.

References:
AHA Coding Clinic, Second Quarter 2017, Page: 9-10
AHA Coding Clinic, Third Quarter 2010, Page 5-6
AHA Coding Clinic, Third Quarter 2007, Page 4
wikipedia.org/wiki/Cerebral_infarction
ncbi.nlm.nih.gov/pmc/articles/PMC3677128/
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Icd 10 code for left mca stroke

The information contained in this coding advice is valid at the time of posting. Viewers are encouraged to research subsequent official guidance in the areas associated with the topic as they can change rapidly.

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Icd 10 code for left mca stroke

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I63.513 Cerebral infarction due to unspecified occlusion or stenosis of bilateral middle cerebral arteries

I63.519 Cerebral infarction due to unspecified occlusion or stenosis of unspecified middle cerebral artery

I63.52 Cerebral infarction due to unspecified occlusion or stenosis of anterior cerebral artery

I63.521 Cerebral infarction due to unspecified occlusion or stenosis of right anterior cerebral artery

I63.522 Cerebral infarction due to unspecified occlusion or stenosis of left anterior cerebral artery

I63.523 Cerebral infarction due to unspecified occlusion or stenosis of bilateral anterior cerebral arteries

I63.529 Cerebral infarction due to unspecified occlusion or stenosis of unspecified anterior cerebral artery

I63.53 Cerebral infarction due to unspecified occlusion or stenosis of posterior cerebral artery

I63.531 Cerebral infarction due to unspecified occlusion or stenosis of right posterior cerebral artery

I63.532 Cerebral infarction due to unspecified occlusion or stenosis of left posterior cerebral artery

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

What is the ICD

I63. 512 - Cerebral infarction due to unspecified occlusion or stenosis of left middle cerebral artery | ICD-10-CM.

What is a left MCA Ischaemic stroke?

A middle cerebral artery (MCA) stroke occurs when blood flow from the largest artery of the brain is suddenly interrupted (ischemia ) or altogether stopped (infarction ). The loss of blood flow causes tissue death, leading to serious and potentially permanent brain injury.

What is the ICD

ICD-10 Code for Cerebral infarction due to thrombosis of right middle cerebral artery- I63. 311- Codify by AAPC.

What is left MCA syndrome?

Middle cerebral artery syndrome is a condition whereby the blood supply from the middle cerebral artery (MCA) is restricted, leading to a reduction of the function of the portions of the brain supplied by that vessel: the lateral aspects of frontal, temporal and parietal lobes, the corona radiata, globus pallidus, ...