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I65.21 vs I65.29

I65.21 (Occlusion and stenosis of right carotid artery) compared with I65.29 (Occlusion and stenosis of unspecified carotid artery), from the official CMS tabular data. I65.21 and I65.29 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

I65.21
Right
Occlusion and stenosis of right carotid artery
I65.29
Unspecified
Occlusion and stenosis of unspecified carotid artery

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. I65.21 and I65.29 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

I65.21Occlusion and stenosis of right carotid arteryI65.29Occlusion and stenosis of unspecified carotid artery
Billing statusBillableBillable
ClassificationI00-I99 — Diseases of the Circulatory System (I00-I99)I00-I99 — Diseases of the Circulatory System (I00-I99)
DefinitionOcclusion and stenosis of right carotid artery is a billable ICD-10-CM diagnosis code (I65.21).Occlusion and stenosis of unspecified carotid artery is a billable ICD-10-CM diagnosis code (I65.29).
Includes
embolism of precerebral artery
narrowing of precerebral artery
obstruction (complete) (partial) of precerebral artery
thrombosis of precerebral artery
embolism of precerebral artery
narrowing of precerebral artery
obstruction (complete) (partial) of precerebral artery
thrombosis of precerebral artery
Use additional code
code to identify presence of:
alcohol abuse and dependence (F10.-)
exposure to environmental tobacco smoke (Z77.22)
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