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    v1.0.28
    OpenPayerBilling CodesCerebrovascular diseasesICD-10-CM i65-occlusion-and-stenosis-precerebral-arteries
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    ICD-10-CM Code For Occlusion And Stenosis Of Precerebral Arteries: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group I65 includes occlusion and stenosis of precerebral arteries not resulting in cerebral infarction, covering conditions such as occlusive disease of the carotid and vertebral arteries without documented infarct. These ICD-10-CM diagnosis codes are used to document extracerebral cerebrovascular arterial narrowing or blockage and related clinical complexity, including laterality and unspecified vessel involvement. Accurate coding within the ICD-10-CM I65 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM I65: Occlusion And Stenosis Of Precerebral Arteries, Not Resulting In Cerebral Infarction Overview

    This code group represents occlusion and narrowing of the precerebral arteries supplying the brain, without an associated cerebral infarction. It targets cerebrovascular circulation disorders affecting extracerebral segments such as the carotid and vertebral arteries and related branches. Accurate coding is important for clinical records and supports correct billing and reimbursement processes tied to cerebrovascular care.

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    When to Use

    Use a code from this group when a patient has documented narrowing or blockage of precerebral arteries without imaging or clinical evidence of cerebral infarction. Select the specific code based on the identified artery and laterality documented in the medical record.

    ICD-10-CM Codes

    11 rows

    ICD-10-CM CodeDescription
    I65.01Occlusion and stenosis of right vertebral artery
    I65.02Occlusion and stenosis of left vertebral artery
    I65.03Occlusion and stenosis of bilateral vertebral arteries
    I65.09Occlusion and stenosis of unspecified vertebral artery
    I65.1Occlusion and stenosis of basilar artery
    I65.21Occlusion and stenosis of right carotid artery
    I65.22Occlusion and stenosis of left carotid artery
    I65.23Occlusion and stenosis of bilateral carotid arteries
    I65.29Occlusion and stenosis of unspecified carotid artery
    I65.8Occlusion and stenosis of other precerebral arteries
    I65.9Occlusion and stenosis of unspecified precerebral artery

    DRG Codes

    5 rows

    DRG CodeDescription
    061Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent with MCC
    062Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent with CC
    063Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent without CC/MCC
    067Precerebral Occlusion without Infarction with MCC
    068Precerebral Occlusion without Infarction without MCC

    Typical Clinical Scenarios

    • An elderly patient with progressive right arm weakness and intermittent episodes of transient visual obscuration presents to clinic for evaluation of chronic cerebrovascular disease. Noninvasive vascular imaging (carotid duplex and CTA) demonstrates high-grade atherosclerotic narrowing of the left internal carotid artery proximal to the skull base without any evidence of acute cerebral infarction on neuroimaging, and the patient is managed as a symptomatic extracranial carotid occlusive disease. A diagnosis from this group is assigned to capture the precerebral arterial occlusion/stenosis causing cerebral hypoperfusion risk. Typical codes: I65.21, I65.22
    • A middle-aged patient arrives at the emergency department with sudden onset transient left-sided numbness and aphasia that resolved within an hour; head CT shows no infarct but vascular imaging reveals an occlusion of the right middle cerebral artery origin in the proximal intracranial carotid circulation (prebifurcation segment). Because there is an acute presentation with neurologic symptoms but no resultant cerebral infarction on imaging, an occlusion/stenosis of a precerebral artery code is used for the acute cerebrovascular event. Typical codes: I65.23, I65.29
    • A patient with atrial fibrillation and multiple cardiovascular comorbidities is admitted for elective evaluation before carotid endarterectomy after screening detected asymptomatic high-grade stenosis of the bilateral vertebral arteries on duplex ultrasound. There is no clinical stroke or infarct, but the precerebral arterial stenoses are documented as significant comorbid vascular disease influencing perioperative planning. The coding reflects documented occlusion/stenosis of the relevant precerebral vessels without cerebral infarction. Typical codes: I65.8, I65.9

    Related Codes

    I60-NONTRAUMATIC-SUBARACHNOID-HEMORRHAGE

    ICD-10-CM Code For Nontraumatic Subarachnoid Hemorrhage: Group Overview

    I61-NONTRAUMATIC-INTRACEREBRAL-HEMORRHAGE

    ICD-10-CM Code For Nontraumatic Intracerebral Hemorrhage: Group Overview

    I62-OTHER-AND-UNSPECIFIED-INTRACRANIAL-HEMORRHAGE

    ICD-10-CM Code For Other And Unspecified Nontraumatic Intracranial Hemorrhage: Group Overview

    I63-CEREBRAL-INFARCTION

    ICD-10-CM Code For Cerebral Infarction: Group Overview

    I66-OCCLUSION-AND-STENOSIS-OF-CEREBRAL-ARTERIES

    ICD-10-CM Code For Occlusion And Stenosis Of Cerebral Arteries Not Resulting In Cerebral Infarction: Group Overview

    I67-OTHER-CEREBROVASCULAR-DISEASES

    ICD-10-CM Code For Other Cerebrovascular Diseases: Group Overview

    I68-CEREBROVASCULAR-DISORDERS-IN-DISEASES-CLASSIFIED-ELSEWHERE

    ICD-10-CM Code For Cerebrovascular Disorders In Diseases Classified Elsewhere: Group Overview

    I69-SEQUELAE-OF-CEREBROVASCULAR-DISEASE

    ICD-10-CM Code For Sequelae Of Cerebrovascular Disease: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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