2025 ICD-10-CM code I69.091
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Cerebrovascular diseases - Sequelae of cerebrovascular disease Diseases of the circulatory system (I00-I99) Feed
Dysphagia following a nontraumatic subarachnoid hemorrhage.
The medical necessity for coding I69.091 is established by the presence of dysphagia directly resulting from a documented nontraumatic subarachnoid hemorrhage. The dysphagia must significantly impact the patient's ability to consume adequate nutrition or hydration.Documentation must support a causal relationship between the hemorrhage and the swallowing impairment.
The clinical responsibility for this code involves the diagnosis and management of dysphagia following a nontraumatic subarachnoid hemorrhage. This might include neurological examination, speech therapy evaluation, dietary modifications, and swallowing studies (if indicated).The physician should document the clinical findings supporting the diagnosis and the medical necessity of any interventions.
- Diseases of the circulatory system (I00-I99)
- I69.091 falls under the broader category of I69 (Sequelae of cerebrovascular disease), specifically I69.09 (Other sequelae of nontraumatic subarachnoid hemorrhage).
In simple words: This code is used when someone has trouble swallowing after bleeding in the brain that wasn't caused by an injury.
This code classifies dysphagia (difficulty swallowing) that occurs as a consequence of a nontraumatic subarachnoid hemorrhage.A subarachnoid hemorrhage is bleeding into the space between the brain and the tissues that cover the brain.The dysphagia is a residual effect of the hemorrhage, not directly caused by trauma.
Example 1: A 65-year-old female patient presents with sudden onset of severe headache, followed by dysphagia.Imaging reveals a nontraumatic subarachnoid hemorrhage.Speech therapy evaluation is ordered to assess swallowing difficulties and recommend appropriate interventions., A 72-year-old male patient is admitted for subarachnoid hemorrhage.After recovery, he exhibits persistent dysphagia, requiring a modified diet and speech therapy to improve swallowing function., A 50-year-old patient with a history of hypertension experiences a subarachnoid hemorrhage.Post-hemorrhage, the patient develops dysphagia that interferes with oral intake.A swallowing study is performed to evaluate the severity and location of the swallowing impairment, guiding treatment decisions.
Detailed clinical notes documenting the diagnosis of nontraumatic subarachnoid hemorrhage. Imaging reports (CT scan, MRI) confirming the hemorrhage.Speech therapy evaluation and progress notes if therapy was provided.Dietary consult and recommendations to address swallowing difficulties.Records of any swallowing studies performed.
** This code should only be used when dysphagia is a direct sequela of a nontraumatic subarachnoid hemorrhage.If dysphagia is due to another cause, a different code should be used.Always review the complete ICD-10-CM manual for the most up-to-date coding guidelines.
- Payment Status: Active
- Specialties:Neurology, Neurosurgery, Speech-Language Pathology
- Place of Service:Inpatient Hospital, Skilled Nursing Facility, Outpatient Hospital, Rehabilitation Facility