2025 ICD-10-CM code I69.814
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Cerebrovascular diseases - Sequelae of other cerebrovascular disease Diseases of the circulatory system (I00-I99) Feed
Frontal lobe and executive function deficit following other cerebrovascular disease.
The diagnosis of I69.814 requires evidence of a cerebrovascular event and subsequent documented impairment in frontal lobe function and executive functions, impacting the patient's daily life.Medical necessity may be supported by documentation of significant functional limitations requiring ongoing medical management and/or rehabilitation.
Neurologist, physiatrist, or other relevant specialist responsible for the diagnosis and management of the patient's cognitive impairment following a cerebrovascular event.This includes assessment of cognitive function, development of a rehabilitation plan, and ongoing monitoring of the patient's progress. Collaboration with other healthcare professionals such as speech-language pathologists and occupational therapists is often necessary.
- Diseases of the circulatory system (I00-I99)
- I69.81 (Cognitive deficits following other cerebrovascular disease)
In simple words: This code describes problems with thinking and planning skills that happen after a stroke or other blood vessel problem in the brain (other than those listed separately).
This code classifies the sequelae (residual effects) of a cerebrovascular event (other than those specified elsewhere) that manifest as a deficit in frontal lobe function and executive functions.Executive functions encompass higher-order cognitive processes such as planning, decision-making, working memory, and inhibitory control.The deficit may involve various aspects of cognitive performance dependent on the specific area and extent of the brain damage caused by the cerebrovascular event.
Example 1: A 65-year-old male patient presents with persistent difficulty in planning and organizing tasks following an ischemic stroke three months prior. He exhibits impaired judgment and decreased problem-solving abilities.Cognitive testing reveals significant deficits in executive functions. I69.814 is assigned., A 72-year-old female patient experiences a hemorrhagic stroke, followed by noticeable changes in personality and behavior. She shows disinhibition, impulsivity, and difficulty with emotional regulation. Neuropsychological evaluation confirms frontal lobe damage affecting executive functions. I69.814 is assigned., An 80-year-old patient with a history of multiple strokes exhibits marked difficulty with initiating tasks, sequencing actions, and maintaining attention. He struggles with working memory and demonstrates reduced flexibility in thinking.Assessment reveals frontal lobe dysfunction consistent with I69.814.
Detailed history and physical examination documenting the cerebrovascular event and its sequelae.Neuropsychological testing results illustrating deficits in executive functions (e.g., tests assessing planning, working memory, set-shifting, inhibitory control).Imaging studies (e.g., MRI, CT scan) demonstrating the location and extent of brain damage.Progress notes documenting the patient's cognitive status and response to treatment.Documentation supporting medical necessity.
** This code should not be used if the cognitive deficit is due to a traumatic brain injury (use codes from category S06.-).Carefully review the clinical documentation to determine the underlying cause of the cognitive deficits and ensure appropriate code selection.
- Payment Status: Active
- Specialties:Neurology, physiatry, neuropsychology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office, Skilled Nursing Facility, Rehabilitation Facility