Neurology & Pain Management Coding Alert

ICD-10 Update: ICD-10 Gets More Specific For Anatomical Location Of Cerebral Emboli

- Published on Mon, Feb 27, 2012

Look for infarction when reporting cerebral emboli.

When 2013 hits, your cerebral embolism diagnosis coding will get an overhaul. Your neurologist will need to clearly state which territory in the central circulation was affected by the embolism. Read on to know how you can pick up the right code for cerebral embolism going further in 2013 when the ICD-10 codes apply.

Look For Site of Embolism When There Is No Infarction

In ICD-9, there is only one code that you can report for cerebral embolism without cerebral infarction. You report 434.10 (Cerebral embolism without cerebral infarction) for embolism in all territories of cerebral blood supply.

However, going further in ICD-10, your coding options expand to a choice from four codes: I66.09 (Occlusion and stenosis of unspecified middle cerebral artery), I66.19 (Occlusion and stenosis of unspecified anterior cerebral artery), I66.29 (Occlusion and stenosis of unspecified posterior cerebral artery), and I66.9 (Occlusion and stenosis [...]

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