2025 ICD-10-CM code I69.828
(Active) Effective Date: N/A Diseases of the circulatory system - Other cerebrovascular diseases IX Feed
Other speech and language deficits following other cerebrovascular disease.
Medical necessity for services related to this code must be supported by documentation that demonstrates the need for ongoing assessment, treatment, and management of the speech and language deficits. This may include evaluations by speech-language pathologists, therapy sessions, or other interventions aimed at improving communication function.
The physician or other healthcare provider is responsible for documenting the specific speech and language deficits that are present and establishing the causal relationship between the deficits and the prior cerebrovascular event. They are responsible for accurately assigning the code I69.828 and any other necessary supporting documentation including additional information about other sequelae, and any underlying medical conditions that may be contributing to the deficits.
- IX
- Cerebrovascular diseases (I60-I69)Use additional code to identify presence of:alcohol abuse and dependence (F10.-)exposure to environmental tobacco smoke (Z77.22)history of tobacco dependence (Z87.891)hypertension (I10-I1A)occupational exposure to environmental tobacco smoke (Z57.31)tobacco dependence (F17.-)tobacco use (Z72.0)Excludes1: traumatic intracranial hemorrhage (S06.-)
In simple words: This code describes lasting problems with speech and language after a stroke or other circulatory system problem affecting the brain, excluding specific types like bleeding or clotting.
Sequelae of other cerebrovascular diseases. This code is used to report the long-term effects of a cerebrovascular disease, other than subarachnoid hemorrhage, intracerebral hemorrhage, or cerebral infarction.It specifically refers to deficits in speech and language that persist after the acute phase of the cerebrovascular event has resolved.
Example 1: A patient suffered a stroke six months ago and now has difficulty speaking fluently, but comprehension is intact. This is documented as non-fluent aphasia., A patient experienced a cerebrovascular event one year prior and now presents with dysarthria, characterized by slurred speech and difficulty with articulation., A patient has persistent anomic aphasia following a stroke, which manifests as difficulty finding the right words, despite understanding language and speaking fluently.
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