Code-level instructions

Includes

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

Excludes 1

neonatal cerebral infarction (P91.82-)

Excludes 2

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-)

Inherited instructions

I60-I69 · Cerebrovascular diseases (I60-I69)

Excludes 1

traumatic intracranial hemorrhage (S06.-)

Use additional code

code to identify presence of:
alcohol abuse and dependence (F10.-)
exposure to environmental tobacco smoke (Z77.22)
history of tobacco dependence (Z87.891)
hypertension (I10-I1A)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)

Chapters 9 · Diseases of the circulatory system (I00-I99)

Excludes 2

certain conditions originating in the perinatal period (P04-P96)
certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
systemic connective tissue disorders (M30-M36)
transient cerebral ischemic attacks and related syndromes (G45.-)

More specific codes

I63.0Cerebral infarction due to thrombosis of precerebral arteriesCategory · further specificity required I63.1Cerebral infarction due to embolism of precerebral arteriesCategory · further specificity required I63.2Cerebral infarction due to unspecified occlusion or stenosis of precerebral arteriesCategory · further specificity required I63.3Cerebral infarction due to thrombosis of cerebral arteriesCategory · further specificity required I63.4Cerebral infarction due to embolism of cerebral arteriesCategory · further specificity required I63.5Cerebral infarction due to unspecified occlusion or stenosis of cerebral arteriesCategory · further specificity required I63.6Cerebral infarction due to cerebral venous thrombosis, nonpyogenicBillable / specific I63.8Other cerebral infarctionCategory · further specificity required I63.9Cerebral infarction, unspecifiedBillable / specific

Official index references (4)

Accident (2)

Accident › cerebrovascular(ischemic) › embolicDisease index
Accident › cerebrovascular(ischemic) › thromboticDisease index

Stroke(apoplectic) (brain) (ischemic) (paralytic) (2)

References from other codes (14)

D57.03 · Hb-SS disease with cerebral vascular involvement

Code also · , if applicable, cerebral infarction (I63.-)

D57.213 · Sickle-cell/Hb-C disease with cerebral vascular involvement

Code also · , if applicable, cerebral infarction (I63.-)

D57.413 · Sickle-cell thalassemia, unspecified, with cerebral vascular involvement

Code also · , if applicable cerebral infarction (I63.-)

D57.433 · Sickle-cell thalassemia beta zero with cerebral vascular involvement

Code also · , if applicable cerebral infarction (I63.-)

D57.453 · Sickle-cell thalassemia beta plus with cerebral vascular involvement

Code also · , if applicable cerebral infarction (I63.-)

D57.813 · Other sickle-cell disorders with cerebral vascular involvement

Code also · , if applicable: cerebral infarction (I63.-)

D81.32 · Adenosine deaminase 2 deficiency

Code also · stroke (I63.-)

G43.6 · Persistent migraine aura with cerebral infarction

Code also · the type of cerebral infarction (I63.-)

G96.81 · Intracranial hypotension

Code also · Stroke (I63.-)

I16.1 · Hypertensive emergency

Code also · cerebral infarction (I63.-)

I67.850 · Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy

Code also · stroke (I63.-)

P91.82 · Neonatal cerebral infarction

Excludes 1 · cerebral infarction (I63.-)

R29.7 · National Institutes of Health Stroke Scale (NIHSS) score

Code first · the type of cerebral infarction (I63.-)

Z92.82 · Status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility

Code first · acute cerebral infarction (I63.-)

Code history

Latest recorded change · FY2024

ChangedUnchanged

FY2024

Effective from 2023-10-01

Code-level rules changed
Inherited rules changed

Cerebral infarction

Category — select a more specific code

CDC/NCHS · FY2024

All editions (19)

All editions	Effective from	Code history
FY2016	2015-10-01	First observed
FY2017	2016-10-01	Code-level rules changed · Inherited rules changed
FY2018	2017-10-01	Inherited rules changed
FY2019	2018-10-01	Inherited rules changed
FY2020	2019-10-01	No tabular change
FY2020 · April	2020-04-01	No tabular change
FY2021	2020-10-01	Code-level rules changed
FY2021 · 01-01	2021-01-01	No tabular change
FY2022	2021-10-01	No tabular change
FY2022 · 04-01	2022-04-01	No tabular change
FY2023	2022-10-01	No tabular change
FY2023 · 04-01	2023-04-01	No tabular change
FY2024	2023-10-01	Code-level rules changed · Inherited rules changed
FY2024 · 04-01	2024-04-01	No tabular change
FY2025	2024-10-01	No tabular change
FY2025 · 04-01	2025-04-01	No tabular change
FY2026	2025-10-01	No tabular change
FY2026 · April	2026-04-01	No tabular change
FY2027	2026-10-01	No tabular change