2025 ICD-10-CM code I69.813
(Active) Effective Date: N/A Revision Date: N/A Cerebrovascular diseases - Cognitive deficits following other cerebrovascular disease Diseases of the circulatory system (I00-I99) Feed
Psychomotor deficit following other cerebrovascular disease.
Modifiers may be applicable depending on the specific circumstances of service delivery (e.g., place of service, type of visit). Consult relevant coding guidelines and payer-specific rules for modifier application.
The medical necessity for this code is established by the presence of a documented psychomotor deficit directly attributable to a prior cerebrovascular event.The severity of the deficit and its impact on the patient's daily functioning should be clearly documented to support the medical necessity for any related treatment or therapy.
Neurologists, physiatrists, and other specialists involved in the diagnosis and management of cerebrovascular disease and its sequelae are responsible for the clinical assessment and documentation required to accurately assign this code.The responsibility also includes determining the underlying cause of the psychomotor deficit and ruling out other potential etiologies.
In simple words: This code is used when someone has problems with movement and coordination because of a problem with their blood vessels in the brain (other than a stroke, bleed, or specific blood vessel problem). This means they have difficulty with physical skills and actions.
This code classifies a psychomotor deficit that occurs as a consequence of other cerebrovascular diseases.A psychomotor deficit refers to impairments in movement coordination, motor skills, and overall physical performance resulting from damage to the brain's areas responsible for motor control.The deficit must be a direct result of a cerebrovascular event other than those specified in codes I60-I67 (e.g., cerebral infarction, intracerebral hemorrhage).
Example 1: A 72-year-old patient presents with slowness of movement (bradykinesia), rigidity, and tremors following a transient ischemic attack (TIA) affecting the basal ganglia.The patient demonstrates difficulty with fine motor coordination and performing daily activities. I69.813 is used to code the psychomotor deficit., A 68-year-old patient experienced a lacunar infarct in the internal capsule.Post-stroke, the patient exhibits significant motor slowing, decreased dexterity, and difficulty initiating movements. I69.813 is used to capture the resulting psychomotor impairments., A 55-year-old patient with a history of cerebral venous thrombosis develops significant motor incoordination and gait abnormalities that restrict their ability to perform daily activities.After neurological examination, I69.813 is assigned to represent the psychomotor deficit.
Detailed neurological examination documenting the presence of psychomotor deficits (e.g., bradykinesia, rigidity, tremors, ataxia). Imaging studies (e.g., MRI, CT scan) to confirm the presence of prior cerebrovascular disease.Documentation should clearly establish a causal link between the cerebrovascular event and the reported deficits.Physician's notes explaining the nature, severity, and impact of the deficit on the patient's activities of daily living are also essential.
** This code is part of a broader category of sequelae of cerebrovascular disease.Careful review of the patient's medical record is crucial to determine the most appropriate and precise code assignment.Consult official ICD-10-CM guidelines for detailed coding instructions.
- Payment Status: Active
- Specialties:Neurology, Physical Medicine and Rehabilitation
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Skilled Nursing Facility, Rehabilitation Facility