History Of CVA ICD-10-CM Codes | 2023

Read our guide on ICD-10 Codes used for History of CVA to ensure your documentation and billing processes are accurate.

By Chloe Smith on Feb 29, 2024.

Fact Checked by Ericka Pingol.

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History Of CVA ICD-10-CM Codes | 2023

What ICD-10 Codes are Used for History Of CVA?

The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) is a widely adopted coding system for classifying and documenting medical conditions. In the context of the history of Cerebrovascular Accidents (CVA), ICD-10-CM codes have evolved to provide more specific and detailed information for accurate diagnosis and effective treatment. Let's explore some commonly used codes and their clinical descriptions:

I63.0 - Cerebral infarction due to thrombosis of precerebral arteries:

This code indicates an ischemic stroke caused by a blood clot in the arteries supplying the brain. It specifies the involvement of precerebral arteries in the thrombotic event.

I63.5 - Cerebral infarction due to unspecified occlusion or stenosis of cerebral arteries:

This code is assigned when a cerebral infarction occurs due to blockage or narrowing of cerebral arteries, but the exact location or cause is not specified.

I61.9 - Intracerebral hemorrhage, unspecified:

This code is used when bleeding within the brain due to a blood vessel rupture, but the specific location or cause of the hemorrhage is not identified.

I62.9 - Subarachnoid hemorrhage, unspecified:

This code indicates bleeding in the subarachnoid space, which is the area between the brain and the thin tissues covering it. The cause or site of the hemorrhage is not specified.

I64 - Stroke, not specified as hemorrhage or infarction:

This code is assigned when a stroke occurs, but the type (hemorrhagic or ischemic) is not specified or cannot be determined.

I63.6 - Cerebral infarction due to embolism of cerebral arteries:

This code indicates an ischemic stroke caused by an embolus (a blood clot or debris) that travels from another part of the body and blocks the cerebral arteries.

I67.9 - Cerebrovascular disease, unspecified:

This code is used when a cerebrovascular disease is diagnosed, but the specific type or cause is not identified or documented.

I65.2 - Occlusion and stenosis of the carotid artery:

This code is assigned when there is a blockage or narrowing of the carotid artery, one of the major arteries supplying blood to the brain, leading to reduced blood flow and potential stroke risk.

I66.9 - Occlusion and stenosis of unspecified cerebral artery:

This code indicates a blockage or narrowing of a cerebral artery, but the exact location or cause is not specified.

I69.91 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease:

This code is assigned when weakness or paralysis affects one side of the body following an unspecified cerebrovascular disease.

Which History Of CVA ICD codes are Billable? 

I63.0 - Cerebral infarction due to thrombosis of precerebral arteries:

Yes. This code represents a billable condition as it identifies a specific type of ischemic stroke caused by thrombosis in the precerebral arteries. It allows for accurate documentation and appropriate reimbursement.

I63.5 - Cerebral infarction due to unspecified occlusion or stenosis of cerebral arteries:

Yes. Although this code does not specify the exact location or cause of the occlusion or stenosis, it still represents a billable condition as it indicates a cerebral infarction resulting from arterial blockage or narrowing.

I61.9 - Intracerebral hemorrhage, unspecified:

Yes. This code is billable as it denotes an intracerebral hemorrhage without specifying the location or cause. It is still considered a valid condition for billing purposes, providing necessary information for reimbursement.

I62.9 - Subarachnoid hemorrhage, unspecified:

Yes. This code is billable as it identifies a subarachnoid hemorrhage without specifying the site or cause. It represents a legitimate condition for billing purposes, ensuring appropriate reimbursement.

I64 - Stroke, not specified as hemorrhage or infarction:

Yes. While this code does not provide specific details regarding the type of stroke, it still represents a billable condition. It indicates the occurrence of a stroke, albeit without distinguishing between hemorrhagic or ischemic nature.

I63.6 - Cerebral infarction due to embolism of cerebral arteries:

Yes. This code is billable as it signifies a cerebral infarction resulting from an embolism in the cerebral arteries. It provides valuable information for accurate billing and reimbursement purposes.

I67.9 - Cerebrovascular disease, unspecified:

Yes. This code is billable as it represents an unspecified cerebrovascular disease. While lacking specific details, it still serves as a valid condition for billing and reimbursement purposes.

I65.2 - Occlusion and stenosis of the carotid artery:

Yes. This code is billable as it identifies occlusion and stenosis in the carotid artery. It provides necessary information for billing and reimbursement purposes, aiding in accurate documentation.

I66.9 - Occlusion and stenosis of unspecified cerebral artery: 

Yes. This code is billable as it denotes occlusion and stenosis in an unspecified cerebral artery. Despite not specifying the exact location, it still represents a valid condition for billing and reimbursement.

I69.91 - Hemiplegia and hemiparesis following unspecified cerebrovascular disease:

Yes. This code is billable as it signifies hemiplegia and hemiparesis resulting from an unspecified cerebrovascular disease. It allows for appropriate documentation and reimbursement.

Clinical Information

  • Cerebrovascular Accident (CVA), commonly known as a stroke, refers to the sudden disruption of blood supply to the brain, leading to brain cell damage or death.
  • There are two main types of strokes: ischemic and hemorrhagic. Ischemic strokes occur due to a blockage in the blood vessels supplying the brain, while hemorrhagic strokes result from bleeding in the brain.
  • Ischemic strokes account for most CVAs, typically caused by a blood clot or plaque buildup in the arteries. Hemorrhagic strokes, on the other hand, occur when a weakened blood vessel ruptures.
  • CVAs often manifest with sudden and severe symptoms, including weakness or paralysis on one side of the body, difficulty speaking or understanding speech, vision problems, severe headaches, and loss of coordination.
  • CVA risk factors include hypertension, smoking, diabetes, high cholesterol, obesity, atrial fibrillation, family history, and age.
  • Prompt medical intervention is crucial for CVAs. Treatment options may include medications to dissolve blood clots, surgical procedures to remove blockages or repair damaged blood vessels, and rehabilitation therapies to regain lost function.
  • Long-term effects of CVAs vary depending on the severity and location of the brain damage. They can include physical disabilities, cognitive impairments, speech difficulties, emotional changes, and increased risk of future strokes.
  • Prevention strategies for CVAs involve lifestyle modifications such as maintaining a healthy diet, regular exercise, controlling blood pressure and cholesterol levels, avoiding tobacco and excessive alcohol consumption, and managing underlying health conditions.
  • Early recognition of stroke symptoms and seeking immediate medical attention can significantly improve the chances of a positive outcome and reduce the risk of disability or death associated with CVAs.

Synonyms Include:

  • Stroke
  • Brain attack
  • Cerebral infarction
  • Apoplexy
  • Cerebrovascular insult
  • Brain embolism
  • Cerebrovascular event
  • Cerebrovascular occlusion
  • Cerebrovascular thrombosis
  • Vascular accident
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Commonly asked questions

Why is ICD-10-CM important for the history of CVA?

ICD-10-CM codes play a crucial role in documenting and classifying different types of CVA, providing standardized terminology for accurate diagnosis, treatment planning, and research analysis.

How have the ICD-10-CM codes for CVA evolved?

The ICD-10-CM codes for CVA have evolved to become more specific and detailed, allowing for better differentiation between various types of strokes, such as ischemic, hemorrhagic, and transient cerebral ischemia.

How do ICD-10-CM codes help in billing CVA-related services?

ICD-10-CM codes serve as the basis for billing and reimbursement of CVA-related services. Proper documentation of the specific type and characteristics of the CVA enables accurate coding and appropriate reimbursement.

Are there specific ICD-10-CM codes for different types of CVA?

There are specific ICD-10-CM codes for different types of CVA, including codes for cerebral infarction, intracerebral hemorrhage, subarachnoid hemorrhage, and occlusion/stenosis of cerebral and precerebral arteries.

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