In simple words: This code describes problems with speaking and understanding language that happen after a stroke or other brain blood vessel problem (not caused by an injury).These problems could include difficulty speaking clearly, understanding what others say, or finding the right words.

This code is used to classify speech and language deficits that occur as a consequence of other cerebrovascular diseases.It encompasses various communication impairments resulting from damage to the brain's language centers or related neurological pathways following a cerebrovascular event (excluding traumatic injury).The deficits can range from aphasia (loss of ability to understand or express speech) to dysphasia (impaired speech), dysarthria (difficulty with articulation), and fluency disorders.This code should be used when the cerebrovascular event is not due to trauma and sequelae are present.

Example 1: A 65-year-old patient experiences a stroke affecting the left hemisphere of the brain. Post-stroke, they present with Broca's aphasia, characterized by difficulty producing fluent speech, despite understanding language. Code I69.82 is applied to reflect the persistent speech deficit., A 72-year-old patient with a history of multiple lacunar infarcts exhibits dysarthria (slurred speech) and mild anomia (difficulty naming objects).I69.82 accurately represents their persistent speech and language difficulties., An 80-year-old patient suffers a right hemisphere stroke leading to significant receptive aphasia (difficulty understanding language).Although the primary diagnosis might be the acute stroke, I69.82 would also be used to document the resulting persistent language comprehension challenges.

Detailed medical history including onset and nature of cerebrovascular event.Comprehensive neurological exam documenting specific speech and language deficits.Speech-language pathology evaluation with documented assessment of communication skills, including assessment of aphasia type, dysarthria severity, etc.Imaging studies (CT or MRI) showing evidence of cerebrovascular disease.

** This code is part of the broader category of sequelae of cerebrovascular disease.Always ensure that the documentation supports the presence of persistent speech or language deficits.