MCMCB Pro
I63.81

I63.81Other cerebral infarction due to occlusion or stenosis of small artery

Billable / specific codeICD-10-CM

I63.81 is a billable, specific ICD-10-CM code for other cerebral infarction due to occlusion or stenosis of small artery. It is valid for submission on a claim.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Lacunar infarction

Risk adjustment

I63.81 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.

Medicare coverage

I63.81 is named in 47 Medicare coverage policies 47 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A52868Billing and Coding: Transesophageal Echocardiography (TEE)
  • A52992Billing and Coding: Non-Invasive Cerebrovascular Arterial Studies
  • A52992Billing and Coding: Non-Invasive Cerebrovascular Arterial Studies
  • A53057Billing and Coding: Home Health Occupational Therapy

How I63.81 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to I63.81.

  • Infarct, infarctionlacunar
  • Infarct, infarctioncerebraldue toocclusion NECsmall artery
  • Infarct, infarctioncerebraldue tostenosis NECsmall artery

Related codes at this level

Codes that share I63.8. If I63.81 is not quite right, the correct code is usually one of these.

Questions about I63.81

Is I63.81 a billable ICD-10-CM code?
Yes. I63.81 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does I63.81 sit in the tabular list?
Diseases of the circulatory system (I00-I99), in the block Cerebrovascular diseases (I60-I69).
ICD-10-CMFY2026-Apr· effective April 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.