2025 ICD-10-CM code I69.320
(Active) Effective Date: N/A Diseases of the circulatory system - Cerebrovascular Diseases 9 Feed
Aphasia following cerebral infarction.
Medical necessity for services related to I69.320 is established by the documented presence of aphasia resulting from a cerebral infarction. This includes diagnostic testing to confirm the infarction, speech and language evaluations, and therapeutic interventions provided by qualified professionals.
Diagnosis and management of this condition are typically overseen by neurologists, physiatrists, speech-language pathologists, and other rehabilitation specialists.The neurologist confirms the diagnosis of cerebral infarction and manages the acute phase. The physiatrist leads the rehabilitation process, coordinating care with other specialists. The speech-language pathologist assesses and treats the aphasia, developing an individualized therapy plan.
In simple words: This code indicates a loss of ability to understand or express speech, reading, or writing, resulting from a stroke.
This code signifies aphasia, a language disorder affecting the ability to communicate, as a sequela or consequence of a cerebral infarction (stroke).A cerebral infarction occurs when blood supply to part of the brain is interrupted, resulting in damage to brain tissue.
Example 1: A 65-year-old patient experiences a stroke and presents with difficulty speaking and understanding language. Following diagnostic imaging confirming a cerebral infarction, the code I69.320 is used to document the aphasia resulting from the stroke., A 78-year-old patient with a history of hypertension presents with sudden onset of slurred speech and inability to comprehend spoken words.A CT scan reveals a cerebral infarction.The patient receives a diagnosis of aphasia following cerebral infarction, coded as I69.320., A patient who suffered a stroke two months prior is receiving speech therapy. They continue to exhibit expressive and receptive language deficits. The code I69.320 remains applicable as it describes the ongoing aphasia resulting from the previous cerebral infarction.
Documentation should include details of the cerebral infarction event, neurological examination findings, speech and language assessment results, and the type and severity of aphasia.Imaging reports confirming the infarction should be available.
** Excludes1: personal history of cerebral infarction without residual deficit (Z86.73)Excludes2: Transient ischemic attack (TIA) (G45.9)
- Payment Status: Active
- Specialties:Neurology, Physical Medicine and Rehabilitation, Speech-Language Pathology
- Place of Service:Inpatient Hospital, Skilled Nursing Facility, Rehabilitation Facility, Outpatient Hospital, Office