ICD-10-CM 2027
ICD-10 code for cortical thrombosis
From the official ICD-10-CM alphabetic index entry “Thrombosis, thrombotic (bland) (multiple) (progressive) (silent) (vessel) › cortical”. Page updated September 29, 2026.
About coding cortical thrombosis
The ICD-10-CM code for cortical thrombosis is I66.9 (Occlusion and stenosis of unspecified cerebral artery).
Within I66, choose I66.9 (unspecified cerebral artery) only when documentation doesn't support a more specific option: middle cerebral artery (I66.0), anterior cerebral artery (I66.1), posterior cerebral artery (I66.2), cerebellar arteries (I66.3) and other cerebral arteries (I66.8).
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 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), DRG 067 (Precerebral Occlusion without Infarction with MCC, relative weight 1.4274), DRG 068 (Precerebral Occlusion without Infarction without MCC, relative weight 0.9013), DRG 791 (Prematurity with Major Problems, relative weight 4.1075) and 1 more, in MDC 01 (Diseases and Disorders of the Nervous System) and MDC 15 (Newborns and Other Neonates with Conditions Originating in the Perinatal Period), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
Common questions about cortical thrombosis ICD-10 codes
What is the ICD-10 code for cortical thrombosis?
- I66.9 — Occlusion and stenosis of unspecified cerebral artery.
Is I66.9 billable?
- Yes. I66.9 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can I66.9 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict I66.9 as a principal diagnosis.
Is I66.9 a CC or MCC?
- No. I66.9 is neither a CC nor an MCC under MS-DRG v44.0.