2025 ICD-10-CM code I69
(Active) Effective Date: N/A Diseases of the circulatory system - Sequelae of cerebrovascular disease 9 Feed
Sequelae of cerebrovascular disease. This code is used to indicate conditions in I60-I67 as the cause of sequelae.
Modifiers may be applicable depending on the specific sequelae being treated.
Medical necessity is established by demonstrating the connection between the sequelae and the original cerebrovascular event, and by outlining the plan of care to address the resulting condition.
The physician is responsible for documenting the specific sequelae of the cerebrovascular disease, linking it to the initial event, and providing appropriate care and treatment for the resulting condition.
In simple words: This code represents the after-effects of a stroke or other cerebrovascular diseases like a brain bleed.These after-effects, or sequelae, can be a range of problems that occur after the initial event, impacting a person's physical or mental abilities.
Sequelae of cerebrovascular disease.The 'sequelae' include conditions specified as such or as residuals which may occur at any time after the onset of the causal condition. Use additional code to identify presence of: alcohol abuse and dependence (F10.-), exposure to environmental tobacco smoke (Z77.22), history of tobacco dependence (Z87.891), hypertension (I10-I1A), occupational exposure to environmental tobacco smoke (Z57.31), tobacco dependence (F17.-), tobacco use (Z72.0).
Example 1: A patient experiences a stroke (I63.9) and subsequently develops difficulty speaking (dysarthria). I69 is used to code the dysarthria as a sequela of the stroke., A patient has a subarachnoid hemorrhage (I60.9) and later experiences cognitive deficits. I69 is used to report the cognitive deficits resulting from the hemorrhage., A patient had a cerebral infarction (I63.9) several years ago and now has persistent weakness in their right arm (hemiparesis). I69 is used to indicate the hemiparesis as a long-term sequela of the cerebral infarction.
Documentation should clearly link the current condition to the previous cerebrovascular event. Details of the original event, including date and type, and the specific sequelae being addressed should be documented.
** This code requires a 4th digit to specify the type of sequelae.Refer to ICD-10-CM codebook for valid 4th digits.
- Payment Status: Active
- Specialties:Neurology, Physical Medicine and Rehabilitation, Internal Medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital, Skilled Nursing Facility, Rehabilitation Facility, Physician's Office