ICD-10 code for cerebrovascular lesion

The ICD-10-CM code for cerebrovascular lesion is I67.9 (Cerebrovascular disease, unspecified). The official index lists 2 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on I67.9.

Within I67, choose I67.9 (Cerebrovascular disease, unspecified) only when documentation doesn't support a more specific option: dissection of cerebral arteries, nonruptured (I67.0), cerebral aneurysm, nonruptured (I67.1), cerebral atherosclerosis (I67.2), progressive vascular leukoencephalopathy (I67.3), hypertensive encephalopathy (I67.4), Moyamoya disease (I67.5), nonpyogenic thrombosis of intracranial venous system (I67.6), cerebral arteritis, not elsewhere classified (I67.7) and 1 more.

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

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.