2025 ICD-10-CM code I69.891
(Active) Effective Date: N/A Diseases of the circulatory system - Sequelae of other cerebrovascular disease 9 Feed
Dysphagia following other cerebrovascular disease. Use additional code to identify the type of dysphagia, if known (R13.11-R13.19).
Medical necessity for services related to dysphagia following a cerebrovascular event must be established by documenting the functional impairment and its impact on the patient's nutrition, hydration, and overall health.The need for diagnostic testing, therapeutic interventions (e.g., speech therapy, dietary modifications), and any associated treatments should be clearly justified.
Clinicians should document the specific type of dysphagia (e.g., oral, oropharyngeal) and its impact on the patient's ability to swallow different consistencies.Assessment of swallowing function and nutritional status is crucial.
- 9
- Diseases of the circulatory system (I00-I99)Cerebrovascular diseases (I60-I69)Sequelae of cerebrovascular disease (I69)Sequelae of other cerebrovascular disease (I69.8)Other sequelae of other cerebrovascular disease (I69.89)
In simple words: Difficulty swallowing after a stroke or other cerebrovascular problem (excluding head injuries).
Dysphagia following other cerebrovascular disease. This code is used to indicate difficulty swallowing as a consequence of a cerebrovascular event, excluding traumatic intracranial injury and other specified conditions.Use additional code to identify the type of dysphagia, if known (R13.11-R13.19).
Example 1: A patient experiences difficulty swallowing solids and liquids following a stroke. After a swallowing evaluation, the dysphagia is diagnosed and I69.891 is used, along with a code specifying the type of dysphagia (e.g., R13.12 for oropharyngeal dysphagia)., A patient with a history of cerebrovascular disease develops dysphagia and aspiration pneumonia.I69.891 is used to code the dysphagia as a sequela of the cerebrovascular disease, and an additional code is used for the pneumonia., A patient presents with dysphagia following a cerebral infarction. The dysphagia is determined to be a direct result of the infarction. I69.391 (Dysphagia following cerebral infarction) would be used instead of I69.891, as the infarction code is more specific.
Documentation should include details of the cerebrovascular event, the nature and severity of the dysphagia (including the phase affected and consistencies involved), results of swallowing assessments (e.g., modified barium swallow study), and any associated complications (e.g., aspiration pneumonia).
- Specialties:Neurology, Physical Medicine and Rehabilitation, Speech-Language Pathology, Internal Medicine
- Place of Service:Inpatient Hospital, Skilled Nursing Facility, Rehabilitation Facility, Outpatient Hospital, Office