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I63.511
ICD-10-CM
Right MCA Stroke

Understanding Right MCA Stroke: Find information on diagnosis, symptoms, and treatment of Right Middle Cerebral Artery Stroke. This resource covers clinical documentation, medical coding (ICD-10), and healthcare best practices related to Right MCA infarction. Explore resources for stroke rehabilitation, acute stroke care, and neurological assessment for accurate Right MCA Stroke diagnosis. Learn about hemiparesis, aphasia, and other common effects.

Also known as

Right Middle Cerebral Artery Stroke
Right MCA Infarction

Diagnosis Snapshot

Key Facts
  • Definition : Blood flow blockage to the right middle cerebral artery of the brain, leading to brain tissue damage.
  • Clinical Signs : Left-sided weakness or paralysis, sensory loss, speech difficulty, visual field defects, neglect.
  • Common Settings : Emergency room, stroke unit, inpatient rehabilitation, outpatient therapy.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC I63.511 Coding
I63.0-I63.9

Cerebral infarction due to MCA

Infarction of brain due to blockage in middle cerebral artery.

I61.0-I61.9

Intracerebral hemorrhage

Bleeding within the brain tissue itself.

I60.0-I60.9

Subarachnoid hemorrhage

Bleeding into the space surrounding the brain.

I67.89

Other cerebrovascular diseases

Other specified cerebrovascular conditions, if MCA stroke not otherwise specified.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the right MCA stroke confirmed?

  • Yes

    Is the stroke ischemic?

  • No

    Do not code right MCA stroke. Code presenting symptoms.

Code Comparison

Related Codes Comparison

When to use each related code

Description
Right MCA Stroke
Transient Ischemic Attack
Lacunar Infarct

Documentation Best Practices

Documentation Checklist
  • Right MCA stroke diagnosis documentation checklist:
  • 1. Symptom onset time
  • 2. NIHSS score on presentation
  • 3. Imaging confirmation (CT/MRI)
  • 4. Specific neurological deficits
  • 5. Thrombolytic therapy details (if given)

Mitigation Tips

Best Practices
  • Document NIHSS, initial and serial, for accurate coding.
  • Specify MCA branch (M1, M2, etc.) affected for improved CDI.
  • Code comorbidities impacting stroke severity for proper risk adjustment.
  • Timely imaging & tPA documentation ensures compliance and reimbursement.
  • Detailed neurological exam supports stroke diagnosis and justifies treatment.

Clinical Decision Support

Checklist
  • Sudden unilateral weaknessfacearmleg
  • Numbness or tingling
  • Speech or language difficulty
  • Vision changes same side
  • Document NIHSS score and time

Reimbursement and Quality Metrics

Impact Summary
  • Right MCA Stroke: ICD-10 I66.0, accurate coding maximizes reimbursement.
  • Coding validation crucial for DRG assignment, impacts hospital case mix index.
  • Stroke severity coding (NIHSS) affects quality reporting and potential penalties.
  • Timely documentation and coding improve stroke care metrics and hospital value-based purchasing.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Document MCA territory infarct
  • Specify laterality: right MCA
  • Code I63.52 Right MCA infarct
  • Query physician for stroke details
  • Confirm stroke onset time

Documentation Templates

Patient presents with clinical findings consistent with a right middle cerebral artery (MCA) stroke.  Symptoms onset was reported at [Time of Onset] and included [List specific symptoms, e.g., right-sided hemiparesis, facial droop, aphasia, dysarthria, sensory loss, visual field deficits, hemineglect].  National Institutes of Health Stroke Scale (NIHSS) score on presentation was [NIHSS Score].  Medical history is significant for [List relevant medical history, e.g., hypertension, hyperlipidemia, atrial fibrillation, diabetes mellitus, prior stroke, smoking].  Current medications include [List current medications].  Brain imaging (CT scan brain without contrast, CTA head and neck, MRI brain) was performed and revealed [Imaging findings, e.g., acute ischemic infarct in the right MCA territory, no evidence of hemorrhage].  Differential diagnosis included transient ischemic attack (TIA), seizure, migraine with aura, and intracranial mass.  Based on the clinical presentation, NIHSS score, and imaging findings, the diagnosis of right MCA ischemic stroke was established.  Treatment plan includes [Treatment plan, e.g., thrombolytic therapy with alteplase if eligible, antiplatelet therapy with aspirin, blood pressure management, statin therapy, stroke rehabilitation, speech therapy, occupational therapy, physical therapy].  Patient was admitted to the stroke unit for further monitoring and management. Prognosis for recovery will be discussed with the patient and family.  Follow-up with neurology and primary care physician is recommended.  ICD-10 code I63.51 (Cerebral infarction due to unspecified occlusion or stenosis of right middle cerebral artery) is assigned.