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2025 ICD-10-CM code I69.312

Visuospatial deficit and spatial neglect following a cerebral infarction.

Follow official ICD-10-CM coding guidelines and conventions.Ensure that the documentation supports the presence of both visuospatial deficit and spatial neglect as a direct result of the cerebral infarction.

The medical necessity for coding I69.312 is established by the presence of a documented cerebral infarction and the resulting visuospatial deficit and spatial neglect that significantly impair the patient's activities of daily living or require specialized rehabilitative therapies.

Neurologist, physiatrist, or other relevant specialist.

IMPORTANT:This code should not be used if the patient has a personal history of cerebral infarction without residual deficit, prolonged reversible ischemic neurologic deficit (PRIND), or reversible ischemic neurological deficit (RIND).Sequelae of traumatic intracranial injury should also be coded separately.

In simple words: This code describes problems with understanding and responding to spatial information (like depth perception, distance, and location) after a stroke.The person might have difficulty navigating, ignoring one side of their body or surroundings, or have visual processing problems.

This ICD-10-CM code, I69.312, specifies a visuospatial deficit and spatial neglect as sequelae of a cerebral infarction.It signifies neurological impairments affecting the ability to perceive and interact with spatial relationships following a stroke. The deficits may involve visual processing, spatial orientation, and awareness of one's surroundings, often affecting one side of the body (unilateral neglect).

Example 1: A 72-year-old patient presents with right-sided neglect following a left middle cerebral artery stroke.The patient consistently ignores the left side of their body and surroundings, demonstrating difficulty with dressing, eating, and ambulation., A 65-year-old patient experiences a visuospatial deficit after a stroke, impacting their ability to judge distances and spatial relationships. They struggle with tasks like pouring liquids, navigating familiar environments, and judging the speed and proximity of approaching vehicles., A 58-year-old patient presents with a combination of right-sided neglect and difficulty with visual processing, affecting their reading and writing skills after an ischemic stroke. These deficits significantly impact their daily activities and communication.

Detailed medical history, neurological examination findings, imaging studies (CT scan or MRI) demonstrating the cerebral infarction, and documentation of the visuospatial deficit and spatial neglect, including specific examples of the patient's impairments.

** Consider using additional codes to identify any co-morbidities or contributing factors, such as hypertension or alcohol abuse, as per guidelines.

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