2025 ICD-10-CM code I69.821
(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
Dysphasia following other cerebrovascular disease.
Medical necessity for coding I69.821 is established by evidence of a prior cerebrovascular event followed by a documented speech and language impairment (dysphasia) assessed by a qualified professional.The relationship between the CVD and the dysphasia must be clinically evident.
The clinical responsibility for coding I69.821 rests with healthcare professionals, such as physicians (neurologists, speech-language pathologists) who assess and diagnose the patient's condition.Accurate documentation of the patient's speech impairment and its relationship to a prior CVD event is crucial for proper coding.
In simple words: This code describes problems with speaking and understanding language that happen after a stroke or other brain blood vessel problem, but not the specific types of speech problems.
This code signifies dysphasia (impairment of speech) that arises as a consequence of cerebrovascular disease (CVD) other than those specifically listed in other I69 codes.It encompasses various forms of speech difficulty resulting from damage to the brain regions responsible for language processing, following a CVD event such as a stroke or transient ischemic attack (TIA), excluding specific types of aphasia and other specified sequelae.
Example 1: A 65-year-old patient presents with persistent speech difficulties (difficulty finding words, forming sentences) three months after experiencing a stroke.Neurological examination reveals mild left-sided weakness and an aphasia assessment confirms dysphasia. Code I69.821 is appropriate., A 78-year-old patient with a history of multiple strokes exhibits significant word-finding difficulties and struggles with sentence construction, affecting communication. Following a comprehensive speech-language pathology evaluation, code I69.821 is assigned based on the documented dysphasia and previous cerebrovascular events., A 50-year-old patient experiences a TIA, with transient neurological deficits that resolved within 24 hours. However, a follow-up speech-language pathology evaluation reveals residual dysphasia; code I69.821 would be appropriate, indicating the persistent speech difficulties resulting from the TIA.
Detailed medical history indicating a previous cerebrovascular event (stroke, TIA, etc.), comprehensive neurologic examination findings, documentation of speech and language assessment (e.g., speech-language pathology report) demonstrating the presence and nature of dysphasia, and correlation between the dysphasia and the cerebrovascular event.
** This code is for dysphasia as a sequelae of other cerebrovascular disease.It excludes dysphasia resulting from traumatic brain injury or other specified causes.Proper documentation is paramount for accurate coding.
- Payment Status: Active
- Specialties:Neurology, Speech-Language Pathology
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Skilled Nursing Facility, Rehabilitation Facility