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I67.2 ICD-10-CM Code: Cerebral atherosclerosis

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives
1 inclusion term · 3 Excludes1 · 1 Excludes2 · 8 use-additional codes

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43, Appendix B.

  • MS-DRG 070 — OTHER CEREBROVASCULAR DISORDERS WITH MCC (MDC 01)
  • MS-DRG 071 — OTHER CEREBROVASCULAR DISORDERS WITH CC (MDC 01)
  • MS-DRG 072 — OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC (MDC 01)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for I67.2 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025

Notes without a marker are published on I67.2 itself; “inherited from” names the category or block whose note applies here.

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Atheroma of cerebral and precerebral arteries

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.

Source: inherited from I67

Use Additional Code

Supplementary codes the tabular list directs you to add.

  • Use additional code to identify presence of:
  • alcohol abuse and dependence (F10.-)
  • exposure to environmental tobacco smoke (Z77.22)
  • history of tobacco dependence (Z87.891)
  • hypertension (I10-I1A)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)

Source: inherited from I60-I69

Coder workflow for I67.2

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

Before you code I67.2

  1. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with I67.2. 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 a condition named in I67.2’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.

    ReviewI63.2, S06

Consider I67.2. Then work the Use Additional Code note, and confirm the code is valid for the date of service in the Verify section.

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 I67.2(3 notes)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with I67.2: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareI63.2, S06

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

  • Excludes2 — not part of I67.2(1 note)

    Coding workflow: The conditions named in this note are not included in I67.2. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareI69.8

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

  • Use Additional Code — after identifying I67.2(8 notes)

    Coding workflow: Check whether the documentation supports the additional code(s) the note names, and report them with I67.2 when it does. Where the instruction is conditional (“if applicable”, “if known”), it applies only when the record documents the condition.

    ReviewF10, Z77.22, Z87.891, Z57.31, F17, Z72.0

    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 I67.2 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).

ReviewI63.2, S06

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

Coding question: Is a second code reported with I67.2?

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).

ReviewF10, Z77.22, Z87.891, Z57.31, F17, Z72.0

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.

Code Overview

Cerebral atherosclerosis is a billable ICD-10-CM diagnosis code (I67.2).

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

Indexed Clinical Terms (21)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Official Coding Guidelines

Official source data — quoted verbatim from the CMS/NCHS Official 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 9: Diseases of the Circulatory System (I00 -I99)

1) Category I69, Sequelae of Cerebrovascular disease Category I69 is used to indicate conditions classifiable to categories I60- I67 as the causes of sequela (neurologic deficits), themselves classified elsewhere. These “late effects” include neurologic deficits that persist after initial onset of conditions classifiable to categories I60-I67. The neurologic deficits caused by cerebrovascular disease may be present from the onset or may arise at any time after the onset of the condition classifiable to categories I60-I67.

Chapter 9: Diseases of the Circulatory System (I00 -I99)

2) Codes from category I69 with codes from I60-I67 Codes from category I69 may be assigned on a health care record with codes from I60-I67, if the patient has a current cerebrovascular disease and deficits from an old cerebrovascular disease.

Decision Points

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

  1. 8 Use Additional Code instructions — report the named additional code(s) when the documentation supports them. See the Use Additional Code notes
  2. 3 Excludes1 entries — codes named there are generally not reported together with this code (Guidelines I.A.12.a). See the Excludes1 notes
  3. 1 Excludes2 entry — 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

  • Age-restricted: the Medicare Code Editor lists this as an adult (age 15-124) diagnosis; other ages are presumed incorrect.

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 structured relationships — computed from published CMS and AHRQ datasets

Other codes that name I67.2 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 1 Excludes1 note: G31.84 — Mild cognitive impairment of uncertain or unknown etiology (via I67.-).

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 (via I67.-), I15 — Secondary hypertension (via I67.-), I70 — Atherosclerosis.

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

Referenced by 1 Code First instruction: G46 — Vascular syndromes of brain in cerebrovascular diseases (via I67.-).

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.

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

FY2026 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.

Named in the grouper logic of 3 MS-DRGs: DRG 070 (MDC 01), DRG 071 (MDC 01), DRG 072 (MDC 01).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):CIR024 — Other and ill-defined cerebrovascular disease (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Other and ill-defined cerebrovascular disease).

G46.0 — Middle cerebral artery syndrome, G46.1 — Anterior cerebral artery syndrome, G46.2 — Posterior cerebral artery syndrome, G46.3 — Brain stem stroke syndrome, G46.4 — Cerebellar stroke syndrome, G46.5 — Pure motor lacunar syndrome, G46.6 — Pure sensory lacunar syndrome, G46.7 — Other lacunar syndromes, G46.8 — Other vascular syndromes of brain in cerebrovascular diseases, I67.1 — Cerebral aneurysm, nonruptured, I67.3 — Progressive vascular leukoencephalopathy, I67.5 — Moyamoya disease, I67.6 — Nonpyogenic thrombosis of intracranial venous system, I67.7 — Cerebral arteritis, not elsewhere classified, I67.81 — Acute cerebrovascular insufficiency, I67.82 — Cerebral ischemia, I67.83 — Posterior reversible encephalopathy syndrome, I67.841 — Reversible cerebrovascular vasoconstriction syndrome, I67.848 — Other cerebrovascular vasospasm and vasoconstriction, I67.850 — Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy, +8 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main terms “Calcification”, “Arteriosclerosis, arteriosclerotic”, “Degeneration, degenerative”, …; these codes share that main term but sit in a different category of the Tabular List.

I34.89 — Other nonrheumatic mitral valve disorders (mitral), I35.8 — Other nonrheumatic aortic valve disorders (aorta, aortic, valve), I36.8 — Other nonrheumatic tricuspid valve disorders (tricuspid), I37.8 — Other nonrheumatic pulmonary valve disorders (pulmonary valve), I42.4 — Endocardial fibroelastosis (subendocardial, congenital), I44.39 — Other atrioventricular block (bundle of His), I51.3 — Intracardiac thrombosis, not elsewhere classified (myocardium, myocardial, acute, without myocardial infarction), I51.4 — Myocarditis, unspecified (myocarditis), I51.5 — Myocardial degeneration (myocardial, myocardium), I65.2 — Occlusion and stenosis of carotid artery (carotid), I70.0 — Atherosclerosis of aorta (aorta), I70.1 — Atherosclerosis of renal artery (renal, artery), I70.201 — Unspecified atherosclerosis of native arteries of extremities, right leg (extremities, leg, right), I70.202 — Unspecified atherosclerosis of native arteries of extremities, left leg (extremities, leg, left), I70.203 — Unspecified atherosclerosis of native arteries of extremities, bilateral legs (extremities, leg, bilateral), I70.208 — Unspecified atherosclerosis of native arteries of extremities, other extremity (extremities, specified site NEC), I70.209 — Unspecified atherosclerosis of native arteries of extremities, unspecified extremity (extremities), I70.211 — Atherosclerosis of native arteries of extremities with intermittent claudication, right leg (extremities, leg, right, with, intermittent claudication), I70.212 — Atherosclerosis of native arteries of extremities with intermittent claudication, left leg (extremities, leg, left, with, intermittent claudication), I70.213 — Atherosclerosis of native arteries of extremities with intermittent claudication, bilateral legs (extremities, leg, bilateral, with, intermittent claudication), +567 more

Lab tests where this diagnosis supports Medicare coverage (NCD)

Medicare's National Coverage Determination (NCD) program lists this diagnosis as medical justification for these lab tests.

Lipid Panel, Prothrombin Time Test and INR (PT/INR)

Contextual Map

Every relationship of I67.2 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 I67.2 with these 5 related codes in Claim Check

Hierarchy

Referenced by Excludes1 notes

Referenced by Excludes2 notes

  • I10 — Essential (primary) hypertension[Excludes2](via I67.-): “essential (primary) hypertension involving vessels of brain (I60-I69)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
  • I15 — Secondary hypertension[Excludes2](via I67.-): “secondary hypertension involving vessels of brain (I60-I69)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
  • I70 — Atherosclerosis[Excludes2]: “cerebral atherosclerosis (I67.2)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026

Referenced by Code First instructions

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • MDC 01 — Diseases and Disorders of the Nervous System[MDC crossing]: “Diseases and Disorders of the Nervous System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 8,892 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026

Index entries (21)

  • Arteriosclerosis, arteriosclerotic (diffuse) (obliterans) (of) (senile) (with calcification), brain[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Arteriosclerosis, arteriosclerotic (diffuse) (obliterans) (of) (senile) (with calcification), central nervous system[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Arteriosclerosis, arteriosclerotic (diffuse) (obliterans) (of) (senile) (with calcification), cerebral[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Arteriosclerosis, arteriosclerotic (diffuse) (obliterans) (of) (senile) (with calcification), cerebrovascular[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Arteriosclerosis, arteriosclerotic (diffuse) (obliterans) (of) (senile) (with calcification), vertebral (artery)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Atheroma, atheromatous, basilar (artery)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Atheroma, atheromatous, carotid (artery) (common) (internal)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Atheroma, atheromatous, cerebral (arteries)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • and 13 more

Nearest codes (20)

Change history

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

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 FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
Coding guidelines Official source data
ICD-10-CM Official Guidelines for Coding and Reporting (FY2026), quoted by section Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 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 structured 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 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.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

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. "I67.2 — Cerebral atherosclerosis." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/i67.2-cerebral-atherosclerosis

Change history

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

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), 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 I67.2 in its code family, with their registry titles.

View all codes in the I67 family