I63.4 Cerebral infarction due to embolism of cerebral arteries

Non-billable header with 6 child codes.

Applies from I63 Cerebral infarction

Includes

• occlusion and stenosis of cerebral and precerebral arteries, resulting in cerebral infarction

Excludes1 (never code together)

• neonatal cerebral infarction (P91.82-)

Excludes2 (not included here)

• chronic, without residual deficits (sequelae) (Z86.73)
• sequelae of cerebral infarction (I69.3-)

Use additional code

• code, if applicable, to identify status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility (Z92.82)
• code, if known, to indicate National Institutes of Health Stroke Scale (NIHSS) score (R29.7-)

Codes under I63.4

• I63.40 Cerebral infarction due to embolism of unspecified cerebral artery
• I63.41 Cerebral infarction due to embolism of middle cerebral artery
• I63.42 Cerebral infarction due to embolism of anterior cerebral artery
• I63.43 Cerebral infarction due to embolism of posterior cerebral artery
• I63.44 Cerebral infarction due to embolism of cerebellar artery
• I63.49 Cerebral infarction due to embolism of other cerebral artery

Code annotations containing back-references to I63.4

Back-references to I63.4

• Type 1 Excludes: I66 Occlusion and stenosis of cerebral arteries, not resulting in cerebral infarction ("Occlusion and stenosis of cerebral artery causing cerebral infarction (I63.3-I63.5)")
• Type 1 Excludes: I67 Other cerebrovascular diseases ("Occlusion and stenosis of cerebral artery causing cerebral infarction (I63.3-I63.5-)")
• Type 2 Excludes: I74 Arterial embolism and thrombosis ("cerebral embolism and thrombosis (I63.3-I63.5, I66.-)")

Back-references to I63

• Code Also: D57.03 Hb-SS disease with cerebral vascular involvement (", if applicable, cerebral infarction (I63.-)")
• Code Also: D57.213 Sickle-cell/Hb-C disease with cerebral vascular involvement (", if applicable, cerebral infarction (I63.-)")
• Code Also: D57.413 Sickle-cell thalassemia, unspecified, with cerebral vascular involvement (", if applicable cerebral infarction (I63.-)")
• Code Also: D57.433 Sickle-cell thalassemia beta zero with cerebral vascular involvement (", if applicable cerebral infarction (I63.-)")
• Code Also: D57.453 Sickle-cell thalassemia beta plus with cerebral vascular involvement (", if applicable cerebral infarction (I63.-)")
• Code Also: D57.813 Other sickle-cell disorders with cerebral vascular involvement (", if applicable: cerebral infarction (I63.-)")
• Code Also: D81.32 Adenosine deaminase 2 deficiency ("stroke (I63.-)")
• Type 1 Excludes: G31.84 Mild cognitive impairment of uncertain or unknown etiology ("cerebrovascular diseases (I60-I69)")
• Code Also: G43.6 Persistent migraine aura with cerebral infarction ("the type of cerebral infarction (I63.-)")
• Code First: G46 Vascular syndromes of brain in cerebrovascular diseases ("underlying cerebrovascular disease (I60-I69)")
• Code Also: G96.81 Intracranial hypotension ("Stroke (I63.-)")
• Type 2 Excludes: I10 Essential (primary) hypertension ("essential (primary) hypertension involving vessels of brain (I60-I69)")
• Type 2 Excludes: I15 Secondary hypertension ("secondary hypertension involving vessels of brain (I60-I69)")
• Use Additional: I16.1 Hypertensive emergency ("cerebral infarction (I63.-)")
• Code Also: I67.850 Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy ("stroke (I63.-)")
• Type 1 Excludes: P91.82 Neonatal cerebral infarction ("cerebral infarction (I63.-)")
• Code First: R29.7 National Institutes of Health Stroke Scale (NIHSS) score ("the type of cerebral infarction (I63.-)")
• Code First: Z92.82 Status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility ("acute cerebral infarction (I63.-)")

Diagnosis Index entries for I63.4

• Disease, diseased › cerebrovascular › acute › embolic
• Hemiplegia › embolic (current episode)
• Infarct, infarction › cerebral (acute) › due to › embolism › cerebral arteries
• Monoplegia › embolic (current episode)
• Occlusion, occluded › artery › brain or cerebral › with infarction (due to) › embolism
• Occlusion, occluded › artery › cerebral › specified NEC › with infarction › due to › embolism
• Paralysis, paralytic (complete) (incomplete) › embolic (current episode)
• Quadriplegia › embolic (current episode)
• Softening › brain (necrotic) (progressive) › embolic

Nearby codes

• I63.341 Cerebral infarction due to thrombosis of right cerebellar artery
• I63.342 Cerebral infarction due to thrombosis of left cerebellar artery
• I63.343 Cerebral infarction due to thrombosis of bilateral cerebellar arteries
• I63.349 Cerebral infarction due to thrombosis of unspecified cerebellar artery
• I63.39 Cerebral infarction due to thrombosis of other cerebral artery
• I63.4 Cerebral infarction due to embolism of cerebral arteries (this code)
• I63.40 Cerebral infarction due to embolism of unspecified cerebral artery
• I63.41 Cerebral infarction due to embolism of middle cerebral artery
• I63.411 Cerebral infarction due to embolism of right middle cerebral artery
• I63.412 Cerebral infarction due to embolism of left middle cerebral artery
• I63.413 Cerebral infarction due to embolism of bilateral middle cerebral arteries