F43.23 - Adjustment disorder with mixed anxiety and depressed mood

Clinical Definition

A blocked artery supplying blood to part of the brain, caused by emboli (traveling clots/debris) or in-situ thrombosis, resulting in acute tissue death (infarction) in the affected area.

Documentation Requirements

• Acuity:

  • Must specify "acute" phase

  • Document time of onset if known

  • Document "initial" vs "subsequent" encounter

• Laterality/Location:

  • Specify affected cerebral artery (e.g., MCA, PCA, ACA)

  • Document right vs left hemisphere

  • Note specific brain region affected

• Cause:

  • Document if embolic vs thrombotic

  • Specify underlying conditions (e.g., atrial fibrillation)

  • Note any contributing factors

• Clinical Findings:

  • Document neurological deficits

  • Include NIH Stroke Scale score

  • Note imaging findings (CT/MRI results)

Common Synonyms

• "Brain attack"

• "Stroke"

• "Blocked vessel in brain"

• "Clot in brain"

• "Brain infarct"

Coding Conflicts

Excludes1:

• Chronic cerebral infarction

• Precerebral arterial occlusion

• Transient ischemic attack (TIA)

Excludes2:

• Post-procedural cerebral infarction

• Traumatic intracranial hemorrhage

Scribing.io Automation

The AI scribe automatically:

• Detects temporal language indicating acute onset

• Tags anatomical references to cerebral vessels

• Captures NIHSS scores from assessment

• Maps symptom descriptions to neurological deficits

• Flags documentation gaps for laterality/cause

• Links imaging findings to stroke documentation

• Identifies risk factors and contributing conditions