2025 ICD-10-CM code I69.820
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Cerebrovascular diseases - Speech and language deficits following other cerebrovascular disease Diseases of the circulatory system (I00-I99) Feed
Aphasia following other cerebrovascular disease.
Modifiers may be applicable depending on the circumstances of service. Consult the official coding guidelines for modifiers relevant to speech therapy and neurological services.
Medical necessity is established by the presence of clinically significant aphasia directly resulting from a documented cerebrovascular event.The severity of the aphasia should warrant ongoing speech-language therapy or other interventions.Treatment plans should align with evidence-based guidelines for post-stroke aphasia rehabilitation.
The clinical responsibility for this code typically falls on neurologists, speech-language pathologists, and other healthcare professionals involved in the diagnosis and treatment of stroke and its sequelae.Assessment and ongoing management of aphasia requires a multidisciplinary approach.
In simple words: This code is used when someone has trouble speaking, understanding speech, reading, or writing because of a previous stroke or similar circulatory problem in the brain.
This code classifies aphasia (a language disorder affecting the production or comprehension of speech and the ability to read or write) that occurs as a sequela (a condition that develops as a consequence of a previous disease or injury) of other cerebrovascular diseases (excluding traumatic intracranial hemorrhage).It specifies the aphasia as the residual effect after another cerebrovascular event, such as a stroke or transient ischemic attack (TIA), has occurred.
Example 1: A 65-year-old patient experienced a stroke three months prior.They now present with difficulty finding words and forming sentences (expressive aphasia), impacting their communication abilities.This code would accurately reflect their current condition., A 72-year-old patient suffered a minor stroke six months ago. They have recovered much of their motor function but still demonstrates difficulty understanding spoken language (receptive aphasia).This code applies., An 80-year-old patient experienced multiple strokes over several years. They are now experiencing significant cognitive and linguistic impairments resulting from the cumulative effects of the strokes. The code would be used with appropriate additional codes to fully describe their condition.
Documentation should include a detailed history of the cerebrovascular event(s), neurological examination findings demonstrating aphasia (including type and severity), and results of any relevant diagnostic tests (e.g., neuroimaging studies, speech-language pathology evaluations).
** This code is used for aphasia as a sequela of other cerebrovascular disease.It should not be used for aphasia caused by traumatic brain injury (use codes from category S06.-) or other non-cerebrovascular etiologies.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Neurology, Speech-Language Pathology
- Place of Service:Office, Hospital (Inpatient or Outpatient), Skilled Nursing Facility, Rehabilitation Facility, Home Health