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I63 ICD-10-CM Code: Cerebral infarction

Compare with another code for I63Check this code on a claim

Billing Status: NO. This is a non-billable ICD-10-CM code: report a more specific billable code beneath it.

Coding at a Glance

Official instructions
1 inclusion term · 2 Excludes1 · 2 Excludes2 · 10 use-additional instructions

What these terms mean →

Category · FY2027A non-billable heading in the tabular list: report a more specific code beneath it.

What you need to know

Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too, and is marked with where it comes from.

Use additional codeReport with this code when documented
  • Use additional 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)
  • Use additional code, if known, to indicate National Institutes of Health Stroke Scale (NIHSS) score (R29.7-)
  • Use additional code to identify presence of: (from I60-I69)
  • alcohol abuse and dependence (F10.-) (from I60-I69)

+6 more in Instructions

Excludes1Not reported with this code unless documented as unrelated
  • neonatal cerebral infarction (P91.82-)
  • traumatic intracranial hemorrhage (S06.-) (from I60-I69)
Excludes2Not included here; may be reported together
  • chronic, without residual deficits (sequelae) (Z86.73)
  • sequelae of cerebral infarction (I69.3-)
IncludesWhat this code covers
  • occlusion and stenosis of cerebral and precerebral arteries, resulting in cerebral infarction

Where it sits Source: CMS/NCHS

Under:Chapter 9: Diseases of the Circulatory SystemI60-I69 Cerebrovascular diseases

Codes under I63 (9)

  • I63.0Cerebral infarction due to thrombosis of precerebral arteriesNot billable
  • I63.1Cerebral infarction due to embolism of precerebral arteriesNot billable
  • I63.2Cerebral infarction due to unspecified occlusion or stenosis of precerebral arteriesNot billable
  • I63.3Cerebral infarction due to thrombosis of cerebral arteriesNot billable
  • I63.4Cerebral infarction due to embolism of cerebral arteriesNot billable
  • I63.5Cerebral infarction due to unspecified occlusion or stenosis of cerebral arteriesNot billable
  • I63.6Cerebral infarction due to cerebral venous thrombosis, nonpyogenicBillable
  • I63.8Other cerebral infarctionNot billable
  • I63.9Cerebral infarction, unspecifiedBillable

Most relevant related codes MedCoder-derived

Read off the official notes above and this code’s own position in the tabular list. Which to report is a documentation question; Compare shows the two side by side.

CompareCheck ClaimView Related Codes

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for I63 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026

Trace:FY2027 changesChange historyRelease, file and checksum

Notes without a marker are published on I63 itself; “inherited from” names the category or block whose note applies here.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

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

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Use Additional Code

Supplementary codes the tabular list directs you to add.

  • Use additional 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)
  • Use additional code, if known, to indicate National Institutes of Health Stroke Scale (NIHSS) score (R29.7-)
  • Use additional code to identify presence of:
  • alcohol abuse and dependence (F10.-) inherited from I60-I69
  • exposure to environmental tobacco smoke (Z77.22) inherited from I60-I69
  • history of tobacco dependence (Z87.891) inherited from I60-I69
  • hypertension (I10-I1A) inherited from I60-I69
  • occupational exposure to environmental tobacco smoke (Z57.31) inherited from I60-I69
  • tobacco dependence (F17.-) inherited from I60-I69
  • tobacco use (Z72.0) inherited from I60-I69

Coder workflow for I63

MedCoder structured workflow — derived from this code’s own official record

Before you code I63

  1. I63 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).

    ReviewI63.0, I63.1, I63.2, I63.3, I63.4, I63.5, I63.6, I63.8, I63.9

    See the relationships section · Guide: How to choose an ICD-10-CM code →

  2. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with the code beneath I63. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the documentation support one of the more specific codes beneath I63?
    Yes → Select that code and continue the checks below on its own page.
    No → I63 cannot be reported as written. Where the codes beneath it include an unspecified code, that code applies when the record goes no further; otherwise query for the missing detail.

    ReviewI63.0, I63.1, I63.2, I63.3, I63.4, I63.5, I63.6, I63.8, I63.9

  2. Does the documentation support a condition named in I63’s Excludes1 note?
    Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
    No → Continue.

    ReviewP91.82, S06

Report the code beneath I63 that the documentation supports, not I63 itself. Then work the Use Additional Code note, and confirm that code is valid for the date of service on its own page.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
The conditions the Use Additional Code note names
Reported with this code when documented; a conditional instruction (“if applicable”, “if known”) applies only when the record supports it.

Official instructions as workflow

  • Excludes1 — check before selecting I63(2 notes)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with I63: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareP91.82, S06

    See the official tabular notes · Guidelines I.A.12.a

  • Excludes2 — not part of I63(2 notes)

    Coding workflow: The conditions named in this note are not included in I63. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareZ86.73, I69.3

    See the official tabular notes · Guidelines I.A.12.b

  • Use Additional Code — after identifying I63(10 notes)

    Coding workflow: Check whether the documentation supports the additional code(s) the note names, and report them with I63 when it does. Where the instruction is conditional (“if applicable”, “if known”), it applies only when the record documents the condition.

    ReviewZ92.82, R29.7, F10, Z77.22, Z87.891, Z57.31

    See the official tabular notes · Guidelines I.A.13

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: Both the condition I63 describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewP91.82, S06

Documentation: A condition the Use Additional Code note names is documented.

Coding question: Is a second code reported with the code beneath I63?

Path: Review the Use Additional Code note and the code it names.

Reason: The additional code is reported when the record documents the condition; a conditional instruction applies only when its condition is met (Guidelines I.A.13).

ReviewZ92.82, R29.7, F10, Z77.22, Z87.891, Z57.31

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Don’t confuse I63 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of I63 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

  • P91.82— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of neonatal cerebral infarction moves the case to P91.82; the two are not reported together unless documented as unrelated.

    Full comparison: I63 vs P91.82 →

  • S06— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of traumatic intracranial hemorrhage moves the case to S06; the two are not reported together unless documented as unrelated.

    Full comparison: I63 vs S06 →

  • Z86.73— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of chronic, without residual deficits (sequelae) adds Z86.73; it is not part of this code and both may be reported when both are documented.

    Full comparison: I63 vs Z86.73 →

  • I69.3— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of sequelae of cerebral infarction adds I69.3; it is not part of this code and both may be reported when both are documented.

    Full comparison: I63 vs I69.3 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Coding context

Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.

Code Overview

Cerebral infarction is a non-billable ICD-10-CM category code (I63). A more specific billable subcode must be selected for claims submission.

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Official Coding Guidelines

Official source data — quoted verbatim from the CMS/NCHS Official Guidelines

Verbatim excerpts from the ICD-10-CM Official Guidelines for Coding and Reporting (CMS/NCHS) that govern this code.

Chapter 18: Symptoms, signs, and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

i. NIHSS Stroke Scale The NIH stroke scale (NIHSS) codes (R29.7- -) can be used in conjunction with acute stroke codes (I60-I63) to identify the patient's neurological status and the severity of the stroke. The stroke scale codes should be sequenced after the acute stroke diagnosis code(s).

Decision Points

The directives on this code's own record, as a pre-claim checklist.

  1. 10 Use Additional Code instructions — report the named additional code(s) when the documentation supports them. See the Use Additional Code notes
  2. 2 Excludes1 entries — codes named there are generally not reported together with this code (Guidelines I.A.12.a). See the Excludes1 notes
  3. 2 Excludes2 entries — those conditions are not part of this code and may be reported additionally when documented. See the Excludes2 notes

Checklist rows are derived from this code's own official directives; the wording of each check is MedCoder editorial. The official notes themselves are in the sections each row links to.

Verify Before Coding

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder-derived relationships — computed from published CMS and AHRQ datasets

Other codes that name I63 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 5 Excludes1 notes across 3 chapters: G31.84 — Mild cognitive impairment of uncertain or unknown etiology, I65 — Occlusion and stenosis of precerebral arteries, not resulting in cerebral infarction, I66 — Occlusion and stenosis of cerebral arteries, not resulting in cerebral infarction, I67 — Other cerebrovascular diseases, P91.82 — Neonatal cerebral infarction.

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 3 Excludes2 notes: I10 — Essential (primary) hypertension, I15 — Secondary hypertension, I74 — Arterial embolism and thrombosis.

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

Referenced by 3 Code First instructions across 3 chapters: G46 — Vascular syndromes of brain in cerebrovascular diseases, R29.7 — National Institutes of Health Stroke Scale (NIHSS) score, Z92.82 — Status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility.

Each of these codes carries a Code First note naming this condition — when that code is reported, THIS code is sequenced first, ahead of it.

Referenced by 11 Code Also instructions across 3 chapters: D57.03 — Hb-SS disease with cerebral vascular involvement, D57.213 — Sickle-cell/Hb-C disease with cerebral vascular involvement, D57.413 — Sickle-cell thalassemia, unspecified, with cerebral vascular involvement, D57.433 — Sickle-cell thalassemia beta zero with cerebral vascular involvement, D57.453 — Sickle-cell thalassemia beta plus with cerebral vascular involvement, D57.813 — Other sickle-cell disorders with cerebral vascular involvement, D81.32 — Adenosine deaminase 2 deficiency, G43.6 — Persistent migraine aura with cerebral infarction, G96.81 — Intracranial hypotension, I16.1 — Hypertensive emergency, I67.850 — Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy.

These codes suggest coding this condition alongside when both are present.

Contextual Map

Every relationship of I63 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run I63 with these 24 related codes in Claim Check

Hierarchy

Excludes1

Excludes2

Use Additional Code

Referenced by Excludes1 notes

Referenced by Excludes2 notes

Referenced by Code First instructions

Referenced by Code Also instructions (11)

Nearest codes (116)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Reference

Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.

Common coding questions

MedCoder editorial

Can I63 be billed directly?

No. I63 (Cerebral infarction) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Coding guidelines Official source data
ICD-10-CM Official Guidelines for Coding and Reporting (FY2027), quoted by section Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder-derived relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder editorial explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources

Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "I63 — Cerebral infarction." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/i63-cerebral-infarction

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Cerebral infarction

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to I63 in its code family, with their registry titles.