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2025 ICD-10-CM code I69.09

Other sequelae of nontraumatic subarachnoid hemorrhage.

Use additional code to identify presence of: alcohol abuse and dependence (F10.-), exposure to environmental tobacco smoke (Z77.22), history of tobacco dependence (Z87.891), hypertension (I10-I1A), occupational exposure to environmental tobacco smoke (Z57.31), tobacco dependence (F17.-), tobacco use (Z72.0).Excludes1: traumatic intracranial hemorrhage (S06.-)

Medical necessity is established by the direct causal link between the nontraumatic subarachnoid hemorrhage and the ongoing sequelae. The documentation should demonstrate the patient's functional limitations and the need for continued medical intervention or rehabilitation.

In simple words: This code describes lasting effects from a bleed between the brain and its surrounding membrane (not caused by trauma), excluding specific issues like thinking or speech problems.

This code represents the residual effects or after-effects of a non-traumatic subarachnoid hemorrhage, excluding specific sequelae like cognitive deficits or speech and language impairments.

Example 1: A patient experiences a nontraumatic subarachnoid hemorrhage and, as a result, develops apraxia, impacting their motor skills. I69.090 would be used to code this specific sequela., Following a nontraumatic subarachnoid hemorrhage, a patient exhibits dysphagia (difficulty swallowing). The code I69.091, along with a supplementary code specifying the type of dysphagia (R13.11-R13.19), would be appropriate., A patient experiences a nontraumatic subarachnoid hemorrhage and subsequently presents with facial weakness or a noticeable facial droop. I69.092 would be used to document this specific sequela.

Documentation should include details of the initial subarachnoid hemorrhage, confirmation that it was nontraumatic, and clear evidence of the specific sequelae being coded. The documentation must also support the medical necessity of continued care for the long-term effects of the hemorrhage. For specific sequelae like dysphagia, additional documentation might be required, such as swallowing evaluations.

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