2025 ICD-10-CM code I69.15
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Cerebrovascular diseases - Sequelae of nontraumatic intracerebral hemorrhage Chapter 9: Diseases of the circulatory system (I00-I99) Feed
Hemiplegia and hemiparesis following a nontraumatic intracerebral hemorrhage.
Modifiers may be necessary depending on the circumstances of the service. Refer to the guidelines from the payer.
Medical necessity is established by the presence of a documented nontraumatic intracerebral hemorrhage and the resulting persistent neurological deficit (hemiplegia or hemiparesis) requiring ongoing medical management.
The clinical responsibility for this code lies with the physician managing the patient's post-hemorrhage condition, which might include neurologists, physiatrists, or other specialists depending on the patient's needs.
- Chapter 9: Diseases of the circulatory system (I00-I99)
- I69.15 is part of the broader category I69: Sequelae of cerebrovascular disease, specifically focusing on sequelae of nontraumatic intracerebral hemorrhage.
In simple words: This code describes weakness or paralysis on one side of the body that's a lasting effect of bleeding inside the brain that wasn't caused by an injury.
This code signifies hemiplegia (paralysis affecting one side of the body) or hemiparesis (weakness affecting one side of the body) as a consequence of a nontraumatic intracerebral hemorrhage (bleeding within the brain).It's crucial to note that the hemorrhage must be nontraumatic, excluding injuries caused by external forces.The code does not encompass transient conditions or those without lasting deficits.
Example 1: A 65-year-old patient presents with right-sided weakness and paralysis (hemiplegia) following a spontaneous intracerebral hemorrhage.Imaging confirms the hemorrhage and resulting neurological deficits. I69.15 is used to reflect the lasting effects., A 70-year-old patient experienced a nontraumatic intracerebral hemorrhage several months ago and now exhibits persistent left-sided weakness (hemiparesis).I69.15 accurately describes this residual neurological impairment.Additional codes may be used to specify the affected side., A 58-year-old patient with a history of hypertension suffers a nontraumatic intracerebral hemorrhage leading to both right-sided weakness and some paralysis.I69.15 is used, with supplemental codes potentially needed to reflect the hypertension and the specific location and severity of the paralysis.
Detailed medical history, neurological examination findings, imaging studies (CT scan or MRI) demonstrating the intracerebral hemorrhage, and documentation of the resulting hemiplegia or hemiparesis are essential for accurate coding.Specify the side affected (right or left).
** Always cross-reference with other documentation and the patient's clinical history to ensure accurate and complete coding.Consider using additional codes to describe any associated conditions or complications.
- Revenue Code: Revenue codes will vary depending on the specific services rendered and the payer. Consult your payer's guidelines.
- RVU: RVUs are not directly associated with ICD-10 codes.Reimbursement is determined by the procedures and services provided, along with the payer's fee schedule and other factors.
- Global Days: Not applicable to ICD-10 codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes.
- Specialties:Neurology, physiatry, and other specialties involved in the management of stroke and its sequelae.
- Place of Service:Inpatient Hospital, Skilled Nursing Facility, Rehabilitation Facility, Outpatient Hospital, Office