2025 ICD-10-CM code I69.89
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the circulatory system - Sequelae of other cerebrovascular diseases IX Diseases of the circulatory system Feed
Other sequelae of other cerebrovascular disease.
Medical necessity for services related to managing the sequelae of cerebrovascular disease is established by the presence of documented neurological deficits impacting the patient's activities of daily living. Documentation must clearly link the sequelae to the prior cerebrovascular event.
Neurologists, physiatrists, and other specialists involved in the rehabilitation of stroke patients are typically responsible for the assessment and management of sequelae of cerebrovascular disease.
- IX Diseases of the circulatory system
- I69 (Sequelae of cerebrovascular disease) > I69.8 (Sequelae of other and unspecified cerebrovascular diseases) > I69.89 (Other sequelae of other cerebrovascular disease)
In simple words: This code describes long-term problems that remain after a stroke or other blood vessel problem in the brain,excluding problems caused by head injuries. These problems can include difficulty with movement, swallowing, facial weakness, or balance.
This code encompasses the lasting consequences (sequelae) of cerebrovascular diseases not otherwise specified, excluding those resulting from traumatic intracranial injury.It includes a variety of neurological deficits that may persist after a cerebrovascular event, such as stroke. Specific examples include apraxia, dysphagia, facial weakness, and ataxia.
Example 1: A patient presents with persistent right-sided weakness and difficulty swallowing (dysphagia) six months post-stroke.Code I69.892 (facial weakness) and I69.891 (dysphagia) would be appropriate, along with additional codes to specify the type of dysphagia., A patient experiences persistent gait instability (ataxia) and impaired coordination following a left-hemisphere cerebrovascular accident. Code I69.893 (ataxia) is applicable., A patient exhibits difficulty performing purposeful movements (apraxia) after a brain stem stroke. Code I69.890 (apraxia) is the appropriate selection.
Comprehensive medical records should include detailed history of the cerebrovascular event, neurological examination findings documenting the specific sequelae, and any imaging studies (e.g., MRI, CT scan) confirming the diagnosis and extent of the brain damage.Documentation must justify the reported sequelae.
** The use of additional codes to specify the type and laterality of the sequelae is encouraged for comprehensive documentation and accurate reimbursement.Consider using supplementary codes for associated conditions such as hypertension (I10-I15) if present.
- Payment Status: Active
- Specialties:Neurology, physiatry, rehabilitation medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital, Skilled Nursing Facility, Office, Rehabilitation Facility