MCMedicalCodingSoftware
I63.011

I63.011: Cerebral infarction due to thrombosis of right vertebral artery

Billable / specific codeICD-10-CMright

I63.011 is a billable, specific ICD-10-CM code for cerebral infarction due to thrombosis of right vertebral artery. It is valid for submission on a claim.

Check I63.011 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above I63.011

A category’s note binds every code beneath it.

Written on I63: Cerebral infarction

  • neonatal cerebral infarction (P91.82-)

Excludes2 inherited from the categories above I63.011

Not part of this code, but both may be coded when both are present.

Written on I63: Cerebral infarction

  • chronic, without residual deficits (sequelae) (Z86.73)
  • sequelae of cerebral infarction (I69.3-)

Other codes that can never be billed with I63.011

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • P91.82Neonatal cerebral infarction

Risk adjustment

I63.011 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

  • HCC 249 Ischemic or Unspecified Stroke0.239 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

I63.011 is named in 33 Medicare coverage policies: 33 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A52992Billing and Coding: Non-Invasive Cerebrovascular Arterial Studies
  • A56505Billing and Coding: Transesophageal Echocardiography (TEE)
  • A56551Billing and Coding: Visual Fields Testing
  • A56612Billing and Coding: CT of the Head

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under I63.01

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.