2025 ICD-10-CM code I69.890
(Active) Effective Date: N/A Diseases of the circulatory system - Other cerebrovascular diseases 9 Feed
Apraxia following other cerebrovascular disease.
The medical necessity of using this code is determined by the presence of apraxia as a direct result of a cerebrovascular disease. The documentation should clearly establish this cause-and-effect relationship to justify the use of this code.
The physician is responsible for accurately diagnosing the cerebrovascular disease and the resulting apraxia, documenting the patient's medical history, the neurological examination findings, and any other relevant clinical information.
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- I69 Other cerebrovascular diseasesI69.8 Other specified cerebrovascular diseasesI69.89 Other specified cerebrovascular diseasesI69.890 Apraxia following other cerebrovascular disease
In simple words: This code indicates a difficulty with coordinated movements, known as apraxia, resulting from a cerebrovascular disease other than a stroke or brain bleed.
Apraxia following other cerebrovascular disease. This code is used to describe a condition where a patient experiences apraxia as a consequence of a cerebrovascular disease, excluding conditions like cerebral infarction, nontraumatic subarachnoid hemorrhage, nontraumatic intracerebral hemorrhage, and other nontraumatic intracranial hemorrhage.
Example 1: A patient experiences a stroke and, afterward, develops difficulty performing learned motor tasks, such as dressing or using tools. After ruling out other causes, the physician diagnoses the patient with apraxia following the cerebrovascular event., A patient with a history of cerebrovascular disease develops difficulty with speech articulation. This difficulty is diagnosed as apraxia of speech, a motor speech disorder, and is attributed to the underlying cerebrovascular condition., A patient recovering from a cerebrovascular event experiences difficulty with motor planning and execution, impacting their ability to perform daily activities. This is diagnosed as apraxia, and I69.890 is used if the underlying cerebrovascular disease is not specifically a cerebral infarction or one of the other excluded hemorrhage types.
Documentation should include a detailed neurological examination, including assessment of motor skills, coordination, and cognitive function. Imaging studies, such as MRI or CT scans, may be necessary to confirm the presence and extent of cerebrovascular disease. The patient's medical history, including any prior cerebrovascular events or other neurological conditions, should also be documented.
** Excludes1: sequelae of traumatic intracranial injury (S06.-). 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).
- Specialties:Neurology, Physical Medicine and Rehabilitation, Speech-Language Pathology
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Skilled Nursing Facility, Rehabilitation Facility