2025 ICD-10-CM code I69.21
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Cerebrovascular diseases - Sequelae of other nontraumatic intracranial hemorrhage Diseases of the circulatory system (I00-I99) Feed
Cognitive deficits following other nontraumatic intracranial hemorrhage.
Modifiers might apply depending on the context of the encounter and the services provided.Consult the latest modifier guidelines for appropriate usage.
The medical necessity of coding I69.21 hinges on the presence of documented cognitive deficits directly attributable to a nontraumatic intracranial hemorrhage.The documentation must support a clear causal link and describe the nature and severity of the cognitive impairments.
Neurologists, neurosurgeons, and other healthcare professionals involved in the diagnosis and management of cerebrovascular disease and cognitive impairment.
- Diseases of the circulatory system (I00-I99)
- I69.2 Sequelae of other nontraumatic intracranial hemorrhage
In simple words: This code is used when someone has problems with thinking, remembering, or other brain functions after a brain bleed that wasn't caused by an injury.
This code signifies cognitive impairments that arise as a consequence of a nontraumatic intracranial hemorrhage, excluding those explicitly categorized elsewhere.These deficits can manifest as attention and concentration problems, memory loss, visuospatial impairments, psychomotor difficulties, frontal lobe dysfunction, or a combination of cognitive, social, or emotional challenges. The hemorrhage must not be caused by trauma.
Example 1: A 65-year-old patient presents with memory loss and difficulty concentrating following a spontaneous intracerebral hemorrhage.Imaging confirms the hemorrhage, and neurological examination reveals cognitive deficits consistent with I69.21., A 72-year-old patient experiences a nontraumatic subarachnoid hemorrhage and, after recovery, exhibits significant visuospatial deficits and neglect, affecting daily activities. Code I69.21 is appropriate, along with codes specifying the visuospatial deficits., An 80-year-old patient with a history of hypertension suffers a nontraumatic intracranial hemorrhage. Following the event, the patient displays a decline in executive function and other frontal lobe impairments. I69.21 is used, along with additional codes to detail the specific deficits.
Detailed medical history, including the occurrence of intracranial hemorrhage (date, type, location). Neurological examination findings demonstrating cognitive deficits (specific impairments like memory loss, attention deficits, etc.).Neuroimaging studies (CT scan, MRI) confirming the hemorrhage.Results of cognitive testing (if performed) should be documented.
** This code is exclusively for cognitive deficits following nontraumatic intracranial hemorrhage.It does not encompass cognitive deficits resulting from other causes.Always cross-reference with other relevant codes to fully capture the clinical picture.
- Payment Status: Active
- Modifier TC rule: Not applicable for this ICD-10-CM code.
- Specialties:Neurology, Neurosurgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office