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2025 ICD-10-CM code I69.219

Unspecified symptoms and signs affecting cognitive function after a non-traumatic intracranial hemorrhage.

Refer to the official ICD-10-CM coding guidelines for proper selection and sequencing of codes.

The presence of cognitive deficits following a nontraumatic intracranial hemorrhage necessitates further evaluation and management to determine the extent of neurological damage, assess functional impairment, and potentially implement rehabilitative measures. Documentation of symptoms and their impact on daily life is crucial for establishing medical necessity.

Neurologist, Physician, or other qualified healthcare professional responsible for diagnosing and managing the patient's cognitive deficits following intracranial hemorrhage.

IMPORTANT:Consider using more specific codes from I69.21- if the cognitive deficit can be specified (e.g., attention deficit, memory problems, visuospatial deficit).

In simple words: This code is used when someone has cognitive problems (like trouble thinking, remembering, or focusing) after a brain bleed that wasn't caused by an injury.The doctor can't specify exactly what kind of cognitive problem it is.

This code classifies unspecified symptoms and signs involving cognitive functions that occur after other nontraumatic intracranial hemorrhages.It encompasses a range of cognitive impairments without specific designation, following an intracranial bleed not caused by trauma.The code is used when more specific cognitive deficits cannot be identified or documented.

Example 1: A 70-year-old patient presents with confusion and memory loss three weeks after a spontaneous intracerebral hemorrhage.A neurological exam reveals impaired short-term memory and difficulty with concentration.I69.219 is used because the specific type of cognitive impairment isn't clearly defined., A 65-year-old patient experiences a subarachnoid hemorrhage. Following recovery from the acute phase, the patient struggles with executive function, such as planning and problem-solving. Due to the broad range of symptoms, I69.219 is the most appropriate code., A 55-year-old patient with a history of hypertension suffers from a spontaneous intraparenchymal hemorrhage. After the acute phase, the patient demonstrates difficulties with visual-spatial orientation and some language processing difficulties. Because a precise diagnosis of the cognitive deficit cannot be determined, I69.219 is assigned.

Detailed neurological examination findings documenting cognitive impairments.Imaging studies (CT, MRI) confirming the presence of intracranial hemorrhage.History of the hemorrhage (spontaneous, non-traumatic).Chronology of symptom onset and progression.Any relevant laboratory tests (e.g., blood tests).

** This code should be used cautiously and only when a more specific cognitive deficit code (from the I69.21- series) cannot be accurately assigned.Always review the complete clinical picture before assigning this code.

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