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I65.23

I65.23: Occlusion and stenosis of bilateral carotid arteries

Billable / specific codeICD-10-CMbilateral

I65.23 is a billable, specific ICD-10-CM code for occlusion and stenosis of bilateral carotid arteries. It is valid for submission on a claim.

Check I65.23 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above I65.23

A category’s note binds every code beneath it.

Written on I65: Occlusion and stenosis of precerebral arteries, not resulting in cerebral infarction

  • insufficiency, NOS, of precerebral artery (G45.-)
  • insufficiency of precerebral arteries causing cerebral infarction (I63.0-I63.2)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

I65.23 is named in 34 Medicare coverage policies: 34 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
  • A52992Billing and Coding: Non-Invasive Cerebrovascular Arterial Studies
  • A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
  • A56476Billing and Coding: Cardiac Radionuclide Imaging

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under I65.2

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.