2025 ICD-10-CM code I69.31
(Active) Effective Date: N/A Revision Date: N/A Cerebrovascular diseases - Sequelae of cerebrovascular disease Diseases of the circulatory system (I00-I99) Feed
Cognitive deficits following cerebral infarction.
Modifiers may be applicable based on the context of service delivery and may require additional codes to specify if the service was provided by more than one physician.
Medical necessity is established by clinical documentation supporting the presence of cognitive deficits directly attributable to a prior cerebral infarction, impacting the patient’s daily functioning.Appropriate clinical assessment and diagnostic testing must be performed.
Neurologist, physiatrist, or other relevant specialist depending on the specific deficits and patient needs.
In simple words: This code describes thinking problems that happen after a stroke that cuts off blood to the brain.These problems can affect memory, attention, and other brain functions.A doctor will specify the exact type of thinking problem.
This code signifies cognitive impairments resulting from a cerebral infarction (stroke).It encompasses various cognitive deficits that may arise as a consequence of brain damage caused by reduced blood flow to a part of the brain.The specific cognitive deficits should be further specified using the additional 6th character codes (e.g., I69.310 for attention and concentration deficits, I69.311 for memory deficits).
Example 1: A 72-year-old patient presents with significant memory loss and difficulty with problem-solving following a left-sided cerebral infarction.I69.311 (Memory deficit following cerebral infarction) would be used in addition to I69.31., A 65-year-old patient experiences impaired concentration and attention after a right-sided stroke. I69.310 (Attention and concentration deficit following cerebral infarction) would be the appropriate addition to I69.31., A 58-year-old patient exhibits visuospatial deficits and neglect of the left side of space following a stroke.I69.312 (Visuospatial deficit and spatial neglect following cerebral infarction) would be added to I69.31.
Detailed medical history including prior stroke events, neurological examination documenting specific cognitive deficits, imaging studies (CT scan, MRI) showing evidence of cerebral infarction, and results of cognitive assessments.
** This code is for sequelae (lasting effects) of a cerebral infarction.The underlying cause (cerebral infarction) should be coded separately (I63.-).Always consult the latest ICD-10-CM guidelines for the most accurate coding practices.
- Payment Status: Active
- Modifier TC rule: Not applicable to this code. The code itself represents the sequela of the cerebral infarction; modifiers might be used for other services related to the condition, not the condition itself.
- Specialties:Neurology, physiatry, rehabilitation medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital, Skilled Nursing Facility, Rehabilitation Facility, Office