2025 ICD-10-CM code I69.11
(Active) Effective Date: N/A Revision Date: N/A Cerebrovascular diseases - Sequelae of nontraumatic intracerebral hemorrhage Diseases of the circulatory system (I00-I99) Feed
Cognitive deficits following a nontraumatic intracerebral hemorrhage.
The medical necessity for coding I69.11 is established by the presence of documented cognitive deficits that are directly and causally related to a previously diagnosed nontraumatic intracerebral hemorrhage. The severity of cognitive impairment should significantly impact the patient's daily functioning.
Neurology, Neurosurgery
- Diseases of the circulatory system (I00-I99)
- I69.11 is under the broader category of I69 Sequelae of cerebrovascular disease, and more specifically under I69.1 Sequelae of nontraumatic intracerebral hemorrhage.Further specificity can be added using additional codes to identify specific cognitive deficits (I69.110-I69.119).
In simple words: This code describes thinking and memory problems that happen after a brain bleed that wasn't caused by an injury.These problems could include trouble focusing, remembering things, or with other thinking skills.
This code is used to classify cognitive impairments that occur as a consequence of a nontraumatic intracerebral hemorrhage.These deficits can manifest in various ways, including problems with attention, concentration, memory, visuospatial skills, psychomotor function, executive functions, and social or emotional processing.The code should only be applied when the cognitive deficits are directly attributable to a prior nontraumatic intracerebral hemorrhage.Additional codes may be necessary to specify the type of cognitive deficit(s) present (e.g., I69.110 for attention and concentration deficits).
Example 1: A 65-year-old patient presents with significant memory loss and difficulty concentrating six months after a diagnosed nontraumatic intracerebral hemorrhage.Neuropsychological testing confirms cognitive deficits consistent with I69.11. , A 72-year-old patient who experienced a nontraumatic intracerebral hemorrhage three years ago exhibits impaired executive functioning and difficulty with problem-solving.These cognitive deficits are directly linked to the prior hemorrhage., A 58-year-old patient, following a nontraumatic intracerebral hemorrhage two years prior, displays attention deficits, reduced processing speed, and impaired visuospatial abilities that affect daily functioning.Neurological examination and neuropsychological assessment confirm these findings. Further coding may be necessary to specify the type of cognitive deficit(s).
Detailed history of the nontraumatic intracerebral hemorrhage, including date of onset, location, and severity.Neurological examination findings.Results of neuropsychological testing demonstrating specific cognitive deficits.Imaging studies (e.g., MRI, CT scan) showing evidence of prior hemorrhage.
** I69.11 is highly dependent on proper documentation of the causal relationship between the hemorrhage and the cognitive deficits.Clinical correlation is crucial for accurate coding.The use of additional codes to specify the type of cognitive deficit is recommended for greater precision.Consider also using codes to describe related conditions such as aphasia, dysarthria, or hemiparesis.
- Payment Status: Active
- Specialties:Neurology, Neurosurgery, Rehabilitation Medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital, Skilled Nursing Facility, Office