I67.89Other cerebrovascular disease

I67.89 is the ICD-10-CM diagnosis code for other 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 I67.8, choose I67.89 (Other cerebrovascular disease) only when documentation doesn't support a more specific option: acute cerebrovascular insufficiency (I67.81), cerebral ischemia (I67.82), posterior reversible encephalopathy syndrome (I67.83), cerebral vasospasm and vasoconstriction (I67.84) and hereditary cerebrovascular diseases (I67.85).

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 061 (Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent with MCC, relative weight 2.7211), DRG 062 (Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent with CC, relative weight 1.7781), DRG 063 (Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent without CC/MCC, relative weight 1.455) and DRG 069 (Transient Ischemia without Thrombolytic, relative weight 0.7964), 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 has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 436 (acute, but ill-defined, cerebrovascular disease), 437.1 (other generalized ischemic cerebrovascular disease) and 437.8 (other ill-defined cerebrovascular disease).