ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 I67.6

Billable / Specific CC

Nonpyogenic thrombosis of intracranial venous system

I67
Block
2
Synonyms
192
LCDs
17
Payer Policies
2
Linked CPTs

About ICD-10-CM I67.6

ICD-10-CM code I67.6 represents Nonpyogenic thrombosis of intracranial venous system. This is a billable/specific code in the Circulatory System chapter (block I67). The 2026 edition of ICD-10-CM I67.6 became effective on October 1, 2025.

Coding Tips for I67.6

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Inpatient DRG impact: CC

I67.6 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under I67.6. Per CMS ICD-10-CM Tabular 2026.

  • Nonpyogenic thrombosis of cerebral vein
  • Nonpyogenic thrombosis of intracranial venous sinus

Type 1 Excludes

Pure excludes, these codes can never be coded together with I67.6. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • nonpyogenic thrombosis of intracranial venous system causing infarction (I63.6)

Inpatient DRG Impact, CC

codes Nonpyogenic thrombosis of intracranial venous system. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for I67.6

Local Coverage Determinations (LCDs) from CMS MACs that list I67.6 as a covered diagnosis.

192 LCDs

Showing top 10 of 192 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Homocysteine Level, Serum
Article ID: 56675, Effective: 2024-10-01 00:00:00, 550 covered, 0 non-covered
CPT 83090 →
CMS LCD: Billing and Coding: MolDX: Genetic Testing for Hereditary Thrombophilia
Article ID: 60271, Effective: , 98 covered, 0 non-covered
CPT 81241 →
CMS LCD: Billing and Coding: MolDX: Genetic Testing for Hereditary Thrombophilia
Article ID: 60271, Effective: , 98 covered, 0 non-covered
CPT 81479 →
CMS LCD: Billing and Coding: MolDX: Genetic Testing for Hereditary Thrombophilia
Article ID: 60271, Effective: , 98 covered, 0 non-covered
CPT 81240 →
CMS LCD: Billing and Coding: MolDX: Genetic Testing for Hereditary Thrombophilia
Article ID: 60307, Effective: , 98 covered, 0 non-covered
CPT 81241 →
CMS LCD: Billing and Coding: MolDX: Genetic Testing for Hereditary Thrombophilia
Article ID: 60307, Effective: , 98 covered, 0 non-covered
CPT 81479 →
CMS LCD: Billing and Coding: MolDX: Genetic Testing for Hereditary Thrombophilia
Article ID: 60307, Effective: , 98 covered, 0 non-covered
CPT 81240 →
CMS LCD: Billing and Coding: Visual Fields Testing
Article ID: 56551, Effective: 2025-10-01 00:00:00, 1427 covered, 0 non-covered
CPT 92082 →
CMS LCD: Billing and Coding: Visual Fields Testing
Article ID: 56551, Effective: 2025-10-01 00:00:00, 1427 covered, 0 non-covered
CPT 92083 →
CMS LCD: Billing and Coding: Visual Fields Testing
Article ID: 56551, Effective: 2025-10-01 00:00:00, 1427 covered, 0 non-covered
CPT 92081 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing I67.6.

17 policies

5 Medicare

Billing and Coding: Non-Invasive Cerebrovascular Arterial Studies
Policy ID: ART-52992
Billing and Coding: Visual Fields Testing
Policy ID: ART-56551
Billing and Coding: CT of the Head
Policy ID: ART-56612
Billing and Coding: Thoracic Aortography and Carotid, Vertebral, and Subclavian Angiography
Policy ID: ART-56631
Billing and Coding: Homocysteine Level, Serum
Policy ID: ART-56675

1 Aetna

Optic Nerve Decompression Surgery
Policy ID: CPB-0415

CPT Codes Commonly Billed with I67.6

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

2 linkages
  • 81240 CMS LCD: Billing and Coding: MolDX: Genetic Testing for Hereditary Thrombophilia CMS LCD
  • 81241 CMS LCD: Billing and Coding: MolDX: Genetic Testing for Hereditary Thrombophilia CMS LCD

Convert I67.6 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
I67.6 4376 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To I67.6

Other codes in section I60-I69 (Cerebrovascular diseases).

I60 Nontraumatic subarachnoid hemorrhage (non-billable) I60.0 Nontraumatic subarachnoid hemorrhage from carotid siphon and bifurcation (non-billable) I60.00 Nontraumatic subarachnoid hemorrhage from unspecified carotid siphon and bifurcation I60.01 Nontraumatic subarachnoid hemorrhage from right carotid siphon and bifurcation I60.02 Nontraumatic subarachnoid hemorrhage from left carotid siphon and bifurcation I60.1 Nontraumatic subarachnoid hemorrhage from middle cerebral artery (non-billable) I60.10 Nontraumatic subarachnoid hemorrhage from unspecified middle cerebral artery I60.11 Nontraumatic subarachnoid hemorrhage from right middle cerebral artery I60.12 Nontraumatic subarachnoid hemorrhage from left middle cerebral artery I60.2 Nontraumatic subarachnoid hemorrhage from anterior communicating artery I60.3 Nontraumatic subarachnoid hemorrhage from posterior communicating artery (non-billable) I60.30 Nontraumatic subarachnoid hemorrhage from unspecified posterior communicating artery I60.31 Nontraumatic subarachnoid hemorrhage from right posterior communicating artery I60.32 Nontraumatic subarachnoid hemorrhage from left posterior communicating artery I60.4 Nontraumatic subarachnoid hemorrhage from basilar artery I60.5 Nontraumatic subarachnoid hemorrhage from vertebral artery (non-billable) I60.50 Nontraumatic subarachnoid hemorrhage from unspecified vertebral artery I60.51 Nontraumatic subarachnoid hemorrhage from right vertebral artery I60.52 Nontraumatic subarachnoid hemorrhage from left vertebral artery I60.6 Nontraumatic subarachnoid hemorrhage from other intracranial arteries

ICD-10 I67.6, Billing FAQ

Is ICD-10 code I67.6 billable? +

Yes, I67.6 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to I67.6? +

ICD-10 I67.6 includes: Nonpyogenic thrombosis of cerebral vein; Nonpyogenic thrombosis of intracranial venous sinus.

What codes are Type 1 Excludes for I67.6? +

Type 1 Excludes (never code together with I67.6): nonpyogenic thrombosis of intracranial venous system causing infarction (I63.6)

Is I67.6 a CC or MCC for inpatient DRG? +

Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

What CPT codes are commonly billed with I67.6? +

Procedures frequently paired with I67.6 include: 81240, 81241.

What ICD-9 codes does I67.6 map to? +

Per CMS GEMs, I67.6 maps to ICD-9 codes: 4376. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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