2025 ICD-10-CM code I69.390
(Valid) Effective Date: N/A Cerebrovascular diseases - Sequelae of cerebral infarction Diseases of the circulatory system (I00-I99) Feed
Apraxia following cerebral infarction.
Medical necessity for services related to I69.390 is established by the presence of functional limitations resulting from the apraxia.This may include the need for rehabilitative therapies, such as occupational therapy, physical therapy, or speech-language pathology.
Clinicians diagnosing and managing the neurological effects of a stroke, including neurologists, physiatrists, and primary care physicians, are responsible for accurately documenting and coding this condition.
In simple words: This code signifies difficulty performing learned movements after a stroke.
Apraxia is a neurological disorder characterized by the inability to perform learned (familiar) movements on command, even though the command is understood and there is a willingness to perform the movement.This condition follows a cerebral infarction (stroke).
Example 1: A patient presents with difficulty performing previously learned tasks, such as brushing their teeth or buttoning their shirt, following a recent stroke.This inability is not due to paralysis or weakness but rather an inability to plan and execute the motor movements. The patient's condition is diagnosed as apraxia following cerebral infarction and coded as I69.390., A patient who experienced a stroke several weeks prior is undergoing rehabilitation. They exhibit difficulty coordinating the movements necessary for dressing and eating, despite having regained strength in their limbs. After evaluation, the therapist determines that the patient's difficulty stems from apraxia, specifically ideomotor apraxia, a common type of apraxia post-stroke, which is documented and coded as I69.390., A patient with a history of stroke is evaluated for persistent difficulty with speech. While the patient can understand language and produce sounds, they struggle to form words and sentences correctly, indicating verbal apraxia.This difficulty is distinct from aphasia, another language disorder, and is coded as I69.390, specifically representing apraxia following cerebral infarction impacting speech production.
Documentation should include a detailed neurological examination outlining the specific motor planning difficulties, the impact on the patient's functional abilities, and the relationship to the prior cerebral infarction.Any associated conditions, such as aphasia or dysarthria, should also be documented.
** It is crucial to distinguish apraxia from other motor speech disorders like dysarthria and aphasia. Apraxia specifically impacts the planning and sequencing of movements, while other disorders affect muscle control or language processing.
- Payment Status: Active
- Specialties:Neurology, Physical Medicine and Rehabilitation, Primary Care
- Place of Service:Inpatient Hospital, Rehabilitation Facility, Outpatient Hospital, Skilled Nursing Facility, Home Health