Cerebral infarction/stroke due to embolism

ICD10 Diagnosis
Dx:	Cerebral infarction/stroke due to embolism
ICD10 code:	I63.4
Pre-ICD10 counterpart:	none assigned
Charlson/ALERT Scale:	Cerebrovascular disease
APACHE Como Component:	none
APACHE Acute Component:	none
Start Date:
Stop Date:
External ICD10 Documentation	ICD-10 CM Wikipedia ICD-10 Wikipedia WHO ICD10 documentation ICD10data.com

This diagnosis is a part of ICD10 collection.

• SMW
  • 2019-01-01
  • 2999-12-31
  • I63.4

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Additional Info

• This code is for cerebral ischemia/stroke due to an embolism (including cardioembolic) to a cerebral artery.
• Includes atheroembolism

• For thrombosis of a cerebral artery (not embolic), use Cerebral infarction/stroke, NOS.
• If the embolic stroke spontaneously "transforms" and bleeds, then COMBINE it with the appropriate code for the hemorrhage (see below).
• If the hemorrhage after an ischemic stroke was NOT spontaneous, but followed anticoagulation, then the hemorrhage should be coded as Hemorrhage, due to anticoagulant or thrombolytic drug as a complication of treatment, not a complication of the stroke per se.

Comorbid Rule exception

Regular comorbid rules exception: Strokes (of any sort, ischemic or hemorrhagic) -- code even resolved strokes with no current sequelae as comorbid diagnoses. If a patient has a past history of stroke, use the regular stroke codes to identify this, even if the patient does not have any residual deficits we will now capture ANY past history of stroke. This is contrary to the usual rules about Comorbid_Diagnosis#When_not_to_code_a_dx_at_all.

Alternate ICD10s to consider coding instead or in addition

Candidate Combined ICD10 codes

• Hemorrhage, subarachnoid or ruptured cerebral aneurysm
• Hemorrhage, intracerebral/intracranial, nontraumatic (ICH, hemorrhagic stroke)
• Subdural or epidural hematoma/hemorrhage, nontraumatic

Related CCI Codes

Data Integrity Checks (automatic list)

	App	Status
Query check ICD10 stroke	CCMDB.accdb	declined

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Show all ICD10 Subcategories

ICD10 Categories: ANCA-associated Vasculitis (AAV), Abdominal trauma, Abortion, Acute intoxication, Addiction, Adrenal Insufficiency, Adverse effect, Alcohol related, Allergy, Anemia, Anesthetic related, Aneurysm, Antibiotic resistance, Antidepressant related, Aortic Aneurysm, Arrhythmia, Arterial thromboembolism, Asthma, Atherosclerosis, Awaiting/delayed transfer, Bacteria, Benign neoplasm, Breast disease, Burn, COVID, Cannabis related, Cardiac septum problem, Cardiovascular, Cerebral Hemorrhage/Stroke, Chemical burn, Chronic kidney disease, Cirrhosis, Cocaine related, Decubitus ulcer, Delirium, Dementia, Diabetes, Diagnosis implying death, Double duty pathogen, ENT, Encephalitis, Encephalopathy, Endocrine disorder, Endocrine neoplasm, Exposure, Eye, Female genital neoplasm, Fistula, Fracture, Fungus, GI ulcer, Gastroenteritis, Gastrointestinal, Gastrointestinal neoplasm, Hallucinogen related, Has one, Head trauma, Head trauma (old), Healthcare contact, Heart valve disease, Heme/immunology, Heme/immunology neoplasm, Hemophilia, Hemorrhage, Hepatitis, Hereditary/congenital, Hernia, Hypertension, Hypotension, Iatrogenic, Iatrogenic infection, Iatrogenic mechanism, Imaging, Infection requiring pathogen, Infection with implied pathogen, Infectious disease, Inflammatory Bowel Disease, Influenza, Inhalation, Intra-abdominal infection, Ischemia, Ischemic gut, Ischemic heart disease, Joint/ligament trauma, Leukemia, Liver disease, Liver failure, Lower limb trauma, Lower respiratory tract infection, Lymphoma, Male genital neoplasm, Mechanism, Meningitis, Metabolic/nutrition, Metastasis, Misc, Muscle problem, Muscles/tendon trauma, Musculoskeletal/soft tissue, Musculoskeletal/soft tissue neoplasm... further results