I65.03
I65.03 — Occlusion and stenosis of bilateral vertebral arteries
Billable / specific codeICD-10-CMbilateral
I65.03 is a billable, specific ICD-10-CM code for occlusion and stenosis of bilateral vertebral arteries. It is valid for submission on a claim.
Risk adjustment
I65.03 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
I65.03 is named in 41 Medicare coverage policies — 41 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52992Billing and Coding: Non-Invasive Cerebrovascular Arterial Studies
- A52992Billing and Coding: Non-Invasive Cerebrovascular Arterial Studies
- A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
- A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Related codes at this level
Codes that share I65.0. If I65.03 is not quite right, the correct code is usually one of these.
Questions about I65.03
- Is I65.03 a billable ICD-10-CM code?
- Yes. I65.03 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does I65.03 sit in the tabular list?
- Diseases of the circulatory system (I00-I99), in the block Cerebrovascular diseases (I60-I69).