Occlusion and stenosis of cerebral arteries, not resulting in cerebral infarction
In Cerebrovascular diseases (I60-I69), chapter 9: Diseases of the Circulatory System
15 billable codes under I66: none are a CC or MCC; none map to an HCC.
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Instructional notes
Includes: conditions that are coded here
- embolism of cerebral artery
- narrowing of cerebral artery
- obstruction (complete) (partial) of cerebral artery
- thrombosis of cerebral artery
Excludes1: not coded here, use a different code
- Occlusion and stenosis of cerebral artery causing cerebral infarction (I63.3-I63.5)
Also applies, from Cerebrovascular diseases (I60-I69)
These notes sit on I60-I69 and apply to every code under it, including I66.
Excludes1: not coded here, use a different code
- traumatic intracranial hemorrhage (S06.-)
Use additional code: add a second code for this, listed after this one
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers hypertension with heart and kidney disease, coronary artery disease with angina, perioperative stroke, cerebrovascular sequelae, and acute myocardial infarction types and timing.
- Hypertension (page 50)
- Atherosclerotic Coronary Artery Disease and Angina (page 52)
- Intraoperative and Postprocedural Cerebrovascular Accident (page 53)
- Sequelae of Cerebrovascular Disease (page 53)
- Acute myocardial infarction (AMI) (page 54)
All codes under I66
I66 can't be used on a claim. Pick a billable code below; grey headings group them.
- I66.0Occlusion and stenosis of middle cerebral artery
- I66.01Occlusion and stenosis of right middle cerebral artery
- I66.02Occlusion and stenosis of left middle cerebral artery
- I66.03Occlusion and stenosis of bilateral middle cerebral arteries
- I66.09Occlusion and stenosis of unspecified middle cerebral artery
- I66.1Occlusion and stenosis of anterior cerebral artery
- I66.11Occlusion and stenosis of right anterior cerebral artery
- I66.12Occlusion and stenosis of left anterior cerebral artery
- I66.13Occlusion and stenosis of bilateral anterior cerebral arteries
- I66.19Occlusion and stenosis of unspecified anterior cerebral artery
- I66.2Occlusion and stenosis of posterior cerebral artery
- I66.21Occlusion and stenosis of right posterior cerebral artery
- I66.22Occlusion and stenosis of left posterior cerebral artery
- I66.23Occlusion and stenosis of bilateral posterior cerebral arteries
- I66.29Occlusion and stenosis of unspecified posterior cerebral artery
- I66.3Occlusion and stenosis of cerebellar arteries
- I66.8Occlusion and stenosis of other cerebral arteries
- I66.9Occlusion and stenosis of unspecified cerebral artery
I66 MS-DRGs
As the principal diagnosis, all 15 billable codes under I66 group to these 7 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 061 Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent with MCC
- DRG 062 Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent with CC
- DRG 063 Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent without CC/MCC
- DRG 067 Precerebral Occlusion without Infarction with MCC
- DRG 068 Precerebral Occlusion without Infarction without MCC
- DRG 791 Prematurity with Major Problems
- DRG 793 Full Term Neonate with Major Problems
Other codes that refer to I66
Notes on these codes point to I66.
- I74 Excludes2: cerebral embolism and thrombosis (I63.3-I63.5, I66.-)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Brain Diseases
Your brain is the control center of your body. It controls your thoughts, memory, speech, and movement. It regulates the function of many organs. It's part of your nervous system, which also includes your spinal cord and peripheral nerves. The nervous system sends signals between your brain and the rest of the body. Your nerves take in information from your senses and send it to the brain to be processed. Your brain and nerves also communicate to help you move and to control your body's functions.
Read more about brain diseases on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
