L82.1 - Other seborrheic keratosis

Clinical Definition

Cerebral infarction, commonly known as ischemic stroke, occurs when blood flow to a part of the brain is blocked by a clot or obstruction, leading to death of brain tissue in that area.

Documentation Requirements

• Laterality must specify which side of the brain is affected

• Acuity - document if acute, subacute, or chronic

• Affected Artery - specify:

  • Middle cerebral

  • Anterior cerebral

  • Posterior cerebral

  • Vertebral

  • Basilar

• Cause/Type:

  • Thrombotic

  • Embolic

  • Unspecified

• Associated Conditions:

  • Document any neurological deficits

  • Presence/absence of hemiplegia

  • Speech/language impairments

Common Synonyms

• Stroke

• Brain attack

• CVA (Cerebrovascular accident)

• "Blockage in brain"

• "Clot in brain"

Coding Conflicts

• Excludes1:

  • Hemorrhagic stroke (I61.-)

  • Transient ischemic attack (G45.9)

• Excludes2:

  • Sequelae of cerebral infarction (I69.3-)

  • Pre-cerebral arterial stenosis (I65.-)

Scribing.io Automation

The AI scribe automatically identifies key terms like "infarct," "ischemic stroke," and "CVA" in clinical conversations. It maps anatomical locations mentioned (e.g., "left MCA territory") and captures severity descriptors. The system also recognizes temporal references to determine acuity and distinguishes between new events versus historical strokes.