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

ICD-10 I67.83

Billable / Specific MCC

Posterior reversible encephalopathy syndrome

I67
Block
1
Synonyms
122
LCDs
8
Payer Policies
0
Linked CPTs

About ICD-10-CM I67.83

ICD-10-CM code I67.83 represents Posterior reversible encephalopathy syndrome. This is a billable/specific code in the Circulatory System chapter (block I67). The 2026 edition of ICD-10-CM I67.83 became effective on October 1, 2025.

Coding Tips for I67.83

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

Inpatient DRG impact: MCC

I67.83 is designated MCC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-MCC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag MCC 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 I67.83. Per CMS ICD-10-CM Tabular 2026.

  • PRES

Inpatient DRG Impact, MCC

codes Posterior reversible encephalopathy syndrome. As a Major Complication/Comorbidity (MCC), this can shift the DRG assignment to a higher-weighted category, substantial reimbursement impact.

Medicare LCD Coverage for I67.83

Local Coverage Determinations (LCDs) from CMS MACs that list I67.83 as a covered diagnosis.

122 LCDs

Showing top 10 of 122 total . Click a CPT for full coverage scope.

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 →
CMS LCD: Billing and Coding: Heavy Metal Testing
Article ID: 56767, Effective: 2026-01-01 00:00:00, 294 covered, 1 non-covered
CPT 82175 →
CMS LCD: Billing and Coding: Heavy Metal Testing
Article ID: 56767, Effective: 2026-01-01 00:00:00, 294 covered, 1 non-covered
CPT 84630 →
CMS LCD: Billing and Coding: Heavy Metal Testing
Article ID: 56767, Effective: 2026-01-01 00:00:00, 294 covered, 1 non-covered
CPT 82495 →
CMS LCD: Billing and Coding: Heavy Metal Testing
Article ID: 56767, Effective: 2026-01-01 00:00:00, 294 covered, 1 non-covered
CPT 84285 →
CMS LCD: Billing and Coding: Heavy Metal Testing
Article ID: 56767, Effective: 2026-01-01 00:00:00, 294 covered, 1 non-covered
CPT 83825 →
CMS LCD: Billing and Coding: Heavy Metal Testing
Article ID: 56767, Effective: 2026-01-01 00:00:00, 294 covered, 1 non-covered
CPT 82108 →
CMS LCD: Billing and Coding: Heavy Metal Testing
Article ID: 56767, Effective: 2026-01-01 00:00:00, 294 covered, 1 non-covered
CPT 82525 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing I67.83.

8 policies

5 Medicare

Billing and Coding: Visual Fields Testing
Policy ID: ART-56551
Billing and Coding: CT of the Head
Policy ID: ART-56612
Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-56619
Billing and Coding: Heavy Metal Testing
Policy ID: ART-56767
Billing and Coding: Visual Fields Testing
Policy ID: ART-56799

CPT Codes Commonly Billed with I67.83

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

No procedure linkages on file for I67.83

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert I67.83 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
I67.83 34839 10000

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

Codes Adjacent To I67.83

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 I67.83, Billing FAQ

Is ICD-10 code I67.83 billable? +

Yes, I67.83 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 I67.83? +

ICD-10 I67.83 includes: PRES.

Is I67.83 a CC or MCC for inpatient DRG? +

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

What ICD-9 codes does I67.83 map to? +

Per CMS GEMs, I67.83 maps to ICD-9 codes: 34839. 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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