2025 ICD-10-CM code I69.822
(Active) Effective Date: N/A Diseases of the circulatory system - Other cerebrovascular diseases 9 Feed
Dysarthria following other cerebrovascular disease. This code signifies speech difficulties caused by damage from a cerebrovascular event other than a cerebral infarction, subarachnoid hemorrhage, or other intracranial hemorrhage.
Medical necessity for services related to I69.822 is established by documenting the functional limitations resulting from the dysarthria. This can include difficulties with communication, swallowing, and/or participation in daily activities. This documentation supports the need for interventions such as speech therapy.
Diagnosis and management of dysarthria caused by cerebrovascular disease typically involves neurologists, speech-language pathologists, and potentially other specialists depending on the nature of the underlying disease.
In simple words: This code describes difficulty speaking clearly due to a past stroke or other blood vessel problem in the brain, excluding specific types like a clot or bleeding in the brain.
Dysarthria is a motor speech disorder resulting from neurological injury.It is characterized by impaired movements of the muscles used for speech production, including the lips, tongue, vocal folds, and/or diaphragm.This code (I69.822) specifically indicates that the dysarthria is a sequela (a residual effect) of a cerebrovascular disease that is not classified as a cerebral infarction, a subarachnoid hemorrhage, or other nontraumatic intracranial hemorrhage. Examples of cerebrovascular diseases that might result in dysarthria include but are not limited to: Stroke affecting areas like brainstem, cerebellum, basal ganglia, or motor cortex; Cerebral Aneurysms even if treated; Vascular Dementia; Moyamoya disease.
Example 1: A patient experiences a stroke affecting the brainstem and subsequently develops dysarthria.The stroke is not categorized as a cerebral infarction, subarachnoid, or other intracranial hemorrhage. I69.822 would be used to code the dysarthria., A patient with a history of treated cerebral aneurysm now presents with dysarthria as a late effect. I69.822 would be used if the aneurysm was not the cause of a subarachnoid or intracerebral hemorrhage leading to the dysarthria., A patient with vascular dementia experiences worsening dysarthria. I69.822 can be used to code the speech deficit related to the vascular dementia.
Documentation should clearly link the dysarthria to the prior cerebrovascular event.Details regarding the type of cerebrovascular disease, the date of onset, and the specific speech deficits (e.g., slurred speech, imprecise articulation, breathy voice) should be documented. Speech therapy evaluations are crucial.
** Always ensure accurate and detailed documentation to support the medical necessity of services related to this condition. Review official coding guidelines and regulations for the most up-to-date information.
- Payment Status: Active
- Specialties:Neurology, Speech-Language Pathology, Physical Medicine and Rehabilitation
- Place of Service:Inpatient Hospital, Outpatient Hospital, Skilled Nursing Facility, Rehabilitation Facility, Office, Home Health