2025 ICD-10-CM code I69.819
(Active) Effective Date: N/A Diseases of the circulatory system - Sequelae of other cerebrovascular diseases 9 Feed
Unspecified symptoms and signs involving cognitive functions following other cerebrovascular disease.
Medical necessity for services related to I69.819 is established by demonstrating the cognitive deficits are a direct result of the previous cerebrovascular disease and that they negatively impact the patient's function and quality of life. The need for specific interventions, such as cognitive rehabilitation, should be justified based on the patient's individual needs and the potential for improvement.
Clinicians using this code should ensure that the cognitive deficits are clearly documented as a sequela of a previous cerebrovascular event and that other potential causes for the cognitive impairment have been ruled out.
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- I69 - Sequelae of cerebrovascular diseaseI69.8 - Sequelae of other cerebrovascular diseasesI69.81 - Cognitive deficits following other cerebrovascular diseaseI69.819 - Unspecified symptoms and signs involving cognitive functions following other cerebrovascular disease
In simple words: This code signifies cognitive problems, like difficulty with thinking or remembering, that occur after a person has experienced a stroke or other cerebrovascular event, excluding specific types like cerebral infarction or brain hemorrhage.
This code represents unspecified symptoms and signs involving cognitive functions that are a direct result of a prior cerebrovascular disease event, other than cerebral infarction, nontraumatic intracerebral hemorrhage, or other nontraumatic intracranial hemorrhage.It encompasses cognitive impairments that manifest after the initial cerebrovascular event and are considered a residual effect.
Example 1: A patient experienced a subarachnoid hemorrhage six months ago. They now present with difficulty concentrating, impaired judgment, and subtle memory loss that affects their daily activities.These cognitive deficits are documented as being a direct result of the previous subarachnoid hemorrhage. I69.819 is the appropriate code., A patient with a history of cerebral thrombosis two years prior now exhibits cognitive decline characterized by difficulty with executive functions, such as planning and problem-solving. After ruling out other causes of cognitive impairment, the physician attributes these symptoms to the prior cerebrovascular event.I69.819 would be used., A patient who had a stroke (other than cerebral infarction) a year ago now has trouble with language comprehension. This cognitive deficit has persisted since the stroke and impacts their ability to communicate effectively.Other causes of language deficits are ruled out. I69.819 would be the appropriate code.
Documentation should clearly establish the relationship between the cognitive deficits and the prior cerebrovascular event. The type of previous cerebrovascular disease should be specified.Details about the cognitive impairments, their onset, severity, and impact on the patient's daily life should be documented. Diagnostic tests and evaluations conducted to rule out other potential causes of cognitive decline should also be included.
- Payment Status: Active
- Specialties:Neurology, Internal Medicine, Physical Medicine and Rehabilitation, Geriatrics
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Skilled Nursing Facility, Rehabilitation Facility, Physician's Office, Patient's Home