I67.858Other hereditary cerebrovascular disease

I67.858 is the ICD-10-CM diagnosis code for other hereditary cerebrovascular disease. It belongs to category I67 (other cerebrovascular diseases), block I60-I69 (cerebrovascular diseases) and chapter 9 (diseases of the circulatory system). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within I67.85, choose I67.858 (Other hereditary cerebrovascular disease) only when documentation doesn't support a more specific option: cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (I67.850).

As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 070 (Other Cerebrovascular Disorders with MCC, relative weight 1.6093), DRG 071 (Other Cerebrovascular Disorders with CC, relative weight 1.0177) and DRG 072 (Other Cerebrovascular Disorders without CC/MCC, relative weight 0.7348), in MDC 01 (Diseases and Disorders of the Nervous System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It was added in FY2019, effective October 1, 2018.