2025 ICD-10-CM code I69.39
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Cerebrovascular diseases - Sequelae of cerebral infarction Diseases of the circulatory system (I00-I99) Feed
Other sequelae of cerebral infarction.
ICD-10 codes do not use modifiers. Modifiers are used with CPT and HCPCS codes to provide additional information about the service performed.
Medical necessity is established by documenting the persistent impairments and their impact on the patient's activities of daily living (ADLs). The need for ongoing medical management, rehabilitation, and supportive care should be clearly demonstrated.Payer-specific guidelines should also be consulted.
The clinical responsibility for managing a patient with sequelae of cerebral infarction typically involves a multidisciplinary team. This may include neurologists, physiatrists, therapists (physical, occupational, speech), and other specialists as needed, depending on the specific impairments.
- Diseases of the circulatory system (I00-I99)
- I69.39 is a sub-category under I69 (Sequelae of cerebrovascular disease), which itself falls under chapter I (Diseases of the circulatory system).
In simple words: This code describes lasting problems that happen after a stroke, but aren't specifically listed by other similar codes. These might include many different physical or mental issues that make daily life more difficult and need ongoing treatment.
This code classifies other residual effects following a cerebral infarction (stroke) that are not specified by other I69 codes.It encompasses a range of neurological and physical impairments that persist after the acute phase of the stroke. These sequelae can significantly impact a patient's daily life and require ongoing medical management.
Example 1: A 65-year-old patient presents with persistent right-sided weakness and difficulty swallowing (dysphagia) six months post-stroke.I69.39 and I69.391 are used to code the residual effects., A 72-year-old patient experiences ongoing speech difficulties (aphasia) and impaired motor planning (apraxia) two years after a left-hemisphere stroke.I69.39, I69.390, and I69.320 could be utilized to document the patient's condition., An 80-year-old patient suffers from gait instability (ataxia) and decreased cognitive function (memory loss) one year following a stroke.I69.39 and relevant codes from the I69.31 category for cognitive deficits would be used.
Detailed documentation is critical for accurate coding. This should include the date of the initial stroke, the location and type of stroke (ischemic or hemorrhagic), and a comprehensive assessment of the patient's current neurological and functional status. Thorough documentation of any residual deficits (e.g., weakness, speech impairment, swallowing difficulties, cognitive deficits) is necessary.Include any supporting imaging studies and any rehabilitation therapies received.
** The information provided here is for educational purposes only.Always consult the official ICD-10-CM coding manuals and payer guidelines for the most up-to-date and accurate coding practices.The use of additional codes might be required to provide a complete clinical picture of the patient's condition and ensure accurate reimbursement.
- Revenue Code: Revenue codes will vary depending on the services provided.Consult your specific payer's guidelines.
- RVU: RVUs are not directly associated with ICD-10 codes.Reimbursement is based on the procedures and services rendered, coded with CPT or HCPCS codes, which then have associated RVUs.
- Global Days: Not applicable to ICD-10 codes.Global surgical periods apply to procedural codes (CPT).
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes. Fee schedules apply to CPT/HCPCS codes.
- Specialties:Neurology, Physical Medicine and Rehabilitation, Speech-Language Pathology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Skilled Nursing Facility, Rehabilitation Facility, Office