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2025 ICD-10-CM code I69.812

Visuospatial deficit and spatial neglect following other cerebrovascular disease.

The code I69.812 should not be used to describe the acute phase of a cerebrovascular event but rather its long-term consequences.It should be used for sequelae present a year or more after the causal condition.

Medical necessity for treatment related to I69.812 stems from the functional limitations imposed by the visuospatial deficit and spatial neglect. Therapy aims to improve the patient's ability to perform daily activities and enhance their quality of life.

Diagnosing and managing the visuospatial deficit and spatial neglect following cerebrovascular disease falls under neurology, possibly with involvement of other specialties like physiatry, occupational therapy, and speech-language pathology for rehabilitation.

In simple words: This refers to difficulty perceiving and interpreting visual information and a lack of awareness of one side of space, resulting from a stroke or other circulatory system problem affecting the brain.

This code represents a visuospatial deficit and spatial neglect as a sequela (residual effect) of a cerebrovascular disease other than those specifically categorized elsewhere in the ICD-10-CM.

Example 1: A patient experiences a stroke affecting the right parietal lobe, leading to left-sided spatial neglect and difficulty judging distances and spatial relationships. This is coded as I69.812., Following a cerebrovascular accident, a patient demonstrates difficulty navigating familiar environments, frequently bumping into objects on their left side.They also have difficulty perceiving the left side of their body. This is coded as I69.812., A patient with a history of stroke presents with persistent difficulty completing visual construction tasks, such as drawing or assembling puzzles, as well as neglect of the left visual field. This condition, a year post-stroke, is documented as a visuospatial deficit and spatial neglect and coded as I69.812.

Documentation should clearly establish the presence of both visuospatial deficit and spatial neglect and their causal relationship to a previous cerebrovascular event. Detailed neurological examination findings, neuropsychological testing results, and imaging studies can support this diagnosis.

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