Skip to main content

I67.89 ICD-10-CM Code: Other cerebrovascular disease

Compare with another codeCheck this code on a claim

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

Coding at a Glance

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

Billable · FY2027A valid, specific ICD-10-CM code, reportable for dates of service in FY2027.

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; the Instructions section marks which is which.

Use additional codeReport with this code when documented
  • code to identify presence of:
  • alcohol abuse and dependence (F10.-)
  • exposure to environmental tobacco smoke (Z77.22)
  • history of tobacco dependence (Z87.891)

+4 more in Instructions

Excludes1Never report with this code
  • Occlusion and stenosis of cerebral artery causing cerebral infarction (I63.3-I63.5-)
  • Occlusion and stenosis of precerebral artery causing cerebral infarction (I63.2-)
  • traumatic intracranial hemorrhage (S06.-)
Excludes2Not included here; may be reported together
  • sequelae of the listed conditions (I69.8)

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

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 v44, Appendix B.

  • MS-DRG 061 — ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC (MDC 01)
  • MS-DRG 062 — ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC (MDC 01)
  • MS-DRG 063 — ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC (MDC 01)
  • MS-DRG 069 — TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC (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 I67.89 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 I67.89 itself; “inherited from” names the category or block whose note applies here.

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 I67.89

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

Before you code I67.89

  1. “Other” (NEC) means the condition is specified in the record but no dedicated code captures it. Confirm the documented form is not one a sibling code names before settling on I67.89; if the record states no specifics at all, the unspecified sibling applies instead. “Other” codes are for documented conditions the classification gives no specific code; “unspecified” codes are for records lacking the detail (Guidelines I.A.9.a, I.A.9.b).

    ReviewI67.81, I67.82, I67.83, I67.84, I67.85

    See the relationships section · Guide: Other vs unspecified (NEC vs NOS) →

  2. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with I67.89. 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 I67.89’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 I67.89. 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.
Any detail beyond this code’s title
What the record states that a more specific sibling code would capture — or its absence, which itself supports the unspecified code.

Official instructions as workflow

  • Excludes1 — check before selecting I67.89(3 notes)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with I67.89: 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 I67.89(1 note)

    Coding workflow: The conditions named in this note are not included in I67.89. 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 I67.89(8 notes)

    Coding workflow: Check whether the documentation supports the additional code(s) the note names, and report them with I67.89 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 I67.89 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 I67.89?

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.

Don’t confuse I67.89 with…

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

The codes most likely to be picked instead of I67.89 — 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.

  • I63.3— 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 Occlusion and stenosis of cerebral artery causing cerebral infarction moves the case to I63.3; the two are not reported together unless documented as unrelated.

    Full comparison: I67.89 vs I63.3 →

  • I63.5— 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 Occlusion and stenosis of cerebral artery causing cerebral infarction moves the case to I63.5; the two are not reported together unless documented as unrelated.

    Full comparison: I67.89 vs I63.5 →

  • I63.2— 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 Occlusion and stenosis of precerebral artery causing cerebral infarction moves the case to I63.2; the two are not reported together unless documented as unrelated.

    Full comparison: I67.89 vs I63.2 →

  • 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: I67.89 vs S06 →

  • I69.8— 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 the listed conditions adds I69.8; it is not part of this code and both may be reported when both are documented.

    Full comparison: I67.89 vs I69.8 →

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

Other cerebrovascular disease is a billable ICD-10-CM diagnosis code (I67.89).

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 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

  • CC as a secondary diagnosis (FY2027). Can raise the stay's MS-DRG severity tier.

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 I67.89 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 2 Excludes2 notes: I10 — Essential (primary) hypertension (via I67.-), I15 — Secondary hypertension (via I67.-).

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 (FY2027)

Potential MS-DRG participation — not a DRG assignment.

FY2027 MS-DRG: CC — Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 182 clinically related codes on its CMS exclusion list.

Named in the grouper logic of 4 MS-DRGs: DRG 061 (MDC 01), DRG 062 (MDC 01), DRG 063 (MDC 01), DRG 069 (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 process (MS-DRG)

Acts as CC — raises the severity of other admissions. CMS groups these diagnoses into one MS-DRG principal-diagnosis exclusion process — a CC/MCC on this list never raises severity when the principal diagnosis is also on it.

I66.12 — Occlusion and stenosis of left anterior cerebral artery, I66.13 — Occlusion and stenosis of bilateral anterior cerebral arteries, I66.19 — Occlusion and stenosis of unspecified anterior cerebral artery, I66.21 — Occlusion and stenosis of right posterior cerebral artery, I66.22 — Occlusion and stenosis of left posterior cerebral artery, I66.23 — Occlusion and stenosis of bilateral posterior cerebral arteries, I66.29 — Occlusion and stenosis of unspecified posterior cerebral artery, I66.3 — Occlusion and stenosis of cerebellar arteries, I66.8 — Occlusion and stenosis of other cerebral arteries, I66.9 — Occlusion and stenosis of unspecified cerebral artery, I67.81 — Acute cerebrovascular insufficiency, I67.82 — Cerebral ischemia, I67.841 — Reversible cerebrovascular vasoconstriction syndrome, I67.848 — Other cerebrovascular vasospasm and vasoconstriction, I67.850 — Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy, I67.858 — Other hereditary cerebrovascular disease, I87.8 — Other specified disorders of veins, I87.9 — Disorder of vein, unspecified, I99.8 — Other disorder of circulatory system, I99.9 — Unspecified disorder of circulatory system, +161 more

Same clinical category (CCSR)

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

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, I67.2 — Cerebral atherosclerosis, 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, I67.858 — Other hereditary cerebrovascular disease, I67.9 — Cerebrovascular disease, unspecified, I68.0 — Cerebral amyloid angiopathy, I68.2 — Cerebral arteritis in other diseases classified elsewhere, I68.8 — Other cerebrovascular disorders in diseases classified elsewhere, +8 more

Same Index main term, other category

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

E23.0 — Hypopituitarism (pituitary), E27.49 — Other adrenocortical insufficiency (adrenal), E32.8 — Other diseases of thymus (thymus), G95.19 — Other vascular myelopathies (spine, spinal, cord), H11.43 — Conjunctival hyperemia (conjunctiva), H15.89 — Other disorders of sclera (sclera), H18.89 — Other specified disorders of cornea (cornea), H35.89 — Other specified retinal disorders (retina), I21.4 — Non-ST elevation (NSTEMI) myocardial infarction (subendocardial), I25.89 — Other forms of chronic ischemic heart disease (subendocardial, chronic), I73.1 — Thromboangiitis obliterans [Buerger's disease], I77.5 — Necrosis of artery (artery), I96 — Gangrene, not elsewhere classified (skin or subcutaneous tissue NEC), J02.9 — Acute pharyngitis, unspecified (pharynx), J32.0 — Chronic maxillary sinusitis (antrum), J32.2 — Chronic ethmoidal sinusitis (ethmoid), J34.0 — Abscess, furuncle and carbuncle of nose (nose), J35.8 — Other chronic diseases of tonsils and adenoids (tonsil), J38.7 — Other diseases of larynx (larynx), J39.8 — Other specified diseases of upper respiratory tract (trachea), +137 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 I67.89 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 I67.89 with these 4 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-fy2027
  • I15 — Secondary hypertension[Excludes2](via I67.-): “secondary hypertension involving vessels of brain (I60-I69)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027

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. 8,919 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027

Index entries (11)

  • Anemia (essential) (general) (hemoglobin deficiency) (infantile) (primary) (profound), cerebral[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Disease, diseased, cerebrovascular, acute[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Disease, diseased, cerebrovascular, specified NEC[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Hyperemia (acute) (passive), cerebral[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Necrosis, necrotic (ischemic), brain[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Necrosis, necrotic (ischemic), central nervous system NEC[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Necrosis, necrotic (ischemic), cerebellar[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Necrosis, necrotic (ischemic), cerebral[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • and 3 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

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.

Indexed Clinical Terms (11)

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.

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
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 — v44 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. "I67.89 — Other cerebrovascular disease." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/i67.89-other-cerebrovascular-disease

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Other cerebrovascular disease

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 I67.89 in its code family, with their registry titles.

View all codes in the I67 family