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2025 ICD-10-CM code I69.090

Apraxia following nontraumatic subarachnoid hemorrhage.

Ensure accurate differentiation from apraxia caused by other neurological conditions or trauma.Appropriate documentation is crucial for correct coding.

The medical necessity for coding I69.090 is established when there is clear clinical documentation supporting the diagnosis of apraxia directly resulting from a nontraumatic subarachnoid hemorrhage.The severity of apraxia and its impact on the patient's daily function should be well documented.

Neurologist, physiatrist, or other healthcare professional specializing in neurological disorders.

IMPORTANT:Consider I69.90 (Unspecified sequelae of unspecified cerebrovascular disease) if the specific type of apraxia or the underlying cerebrovascular event is unknown or cannot be determined.

In simple words: This code is for the condition where someone has difficulty doing everyday movements because of bleeding in the brain that wasn't caused by an injury.

This code classifies apraxia (a neurological disorder affecting the ability to perform learned movements despite having the physical capacity) that occurs as a consequence of a nontraumatic subarachnoid hemorrhage (bleeding into the space surrounding the brain).It is crucial to differentiate this from apraxia resulting from other causes.

Example 1: A 60-year-old patient presents with apraxia after experiencing a spontaneous subarachnoid hemorrhage. The patient struggles with everyday tasks such as dressing and eating, even though their physical strength is intact. , A 75-year-old female patient with a history of hypertension suffers a subarachnoid hemorrhage. Upon recovery, she exhibits apraxia, specifically ideomotor apraxia, making it difficult for her to perform learned motor sequences on command., A 45-year-old patient is diagnosed with apraxia following a subarachnoid hemorrhage secondary to an arteriovenous malformation. The patient shows difficulty initiating purposeful movements, despite understanding the requested actions.

Detailed medical history, including the occurrence of the subarachnoid hemorrhage, neurological examination findings clearly documenting apraxia, and imaging studies (CT scan, MRI) confirming the hemorrhage and any associated brain damage.Documentation should link the apraxia directly to the nontraumatic subarachnoid hemorrhage.

** This code is specific to apraxia as a sequela of nontraumatic subarachnoid hemorrhage.The apraxia should be a direct result of the hemorrhage, not a coincidental finding.Appropriate clinical documentation is essential for accurate coding.

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