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2025 ICD-10-CM code I69.823

Fluency disorder following other cerebrovascular disease. This includes stuttering following a cerebrovascular event.

Use additional codes to specify the underlying cerebrovascular disease. Do not use this code for fluency disorders not caused by cerebrovascular disease.

Medical necessity for speech-language pathology services is established by demonstrating a functional communication deficit that significantly impacts the patient's daily life activities.

Diagnosis and management of the fluency disorder by a speech-language pathologist, including assessment, treatment, and documentation of progress. Physicians may be involved in the initial diagnosis and referral.

In simple words: This code describes a speech problem, like stuttering, that happens after someone has a stroke or other brain blood vessel problem.

Fluency disorder following other cerebrovascular disease, such as stuttering, resulting from conditions like cerebral infarction, intracerebral hemorrhage, or other cerebrovascular events, excluding traumatic intracranial injury.

Example 1: A patient experiences a stroke and subsequently develops stuttering., A patient with a history of cerebral infarction has difficulty with speech fluency, exhibiting repetitions and prolongations of sounds., A patient develops a fluency disorder after an intracerebral hemorrhage.

Documentation should include the type of cerebrovascular disease, the onset and nature of the fluency disorder, and the results of speech-language evaluations.

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