I63.213 vs I69.3
I63.213 (Cerebral infarction due to unspecified occlusion or stenosis of bilateral vertebral arteries) compared with I69.3 (Sequelae of cerebral infarction), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. I63.213 carries an Excludes2 note covering I69.3: “sequelae of cerebral infarction (I69.3-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| I63.213Cerebral infarction due to unspecified occlusion or stenosis of bilateral vertebral arteries | I69.3Sequelae of cerebral infarction | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| Classification | I00-I99 — Diseases of the Circulatory System (I00-I99) | I00-I99 — Diseases of the Circulatory System (I00-I99) |
| Definition | Cerebral infarction due to unspecified occlusion or stenosis of bilateral vertebral arteries is a billable ICD-10-CM diagnosis code (I63.213). | Sequelae of cerebral infarction is a non-billable ICD-10-CM category code (I69.3). |
| Includes | occlusion and stenosis of cerebral and precerebral arteries, resulting in cerebral infarction | Sequelae of stroke NOS |
| 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-) code to identify presence of: | code to identify presence of: alcohol abuse and dependence (F10.-) exposure to environmental tobacco smoke (Z77.22) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources