2025 ICD-10-CM code I69.90
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Cerebrovascular diseases - Sequelae of unspecified cerebrovascular disease Diseases of the circulatory system (I00-I99) Feed
Unspecified sequelae of unspecified cerebrovascular disease.
Modifiers may be applicable depending on the circumstances of the encounter and services provided. Consult current modifier guidelines for appropriate usage.
Medical necessity is established by demonstrating the presence of residual deficits impacting the patient's daily functioning and requiring ongoing medical management or rehabilitation services.The absence of specific information regarding the initial cerebrovascular event doesn't negate the medical necessity of treating the sequelae.
The clinical responsibility involves assessing the patient for long-term effects of a previous cerebrovascular event, documenting the residual deficits, and managing the resulting complications.
In simple words: This code is used when someone has lasting problems from a stroke or other blood vessel issue in the brain, but the specific problems and the original brain event aren't known.
This code signifies unspecified long-term consequences resulting from an undefined cerebrovascular event.It encompasses any residual effects that may arise at any time after the initial cerebrovascular incident, provided the specific sequelae are not otherwise specified.
Example 1: A patient presents with unexplained cognitive decline and gait abnormalities years after an episode of transient ischemic attack (TIA) with no clear documentation of the initial event or subsequent diagnosis., A patient experiences persistent weakness on one side of the body following a cerebrovascular event of unknown etiology, resulting in functional limitations requiring rehabilitation., An elderly patient is admitted to a nursing facility with cognitive impairment and limited mobility, history is unclear regarding prior stroke or cerebrovascular event.
Thorough documentation of the patient's medical history, including any past cerebrovascular events (even if undocumented), neurological examination findings, and functional assessments.Imaging studies such as CT scans or MRIs, if available, should be documented to support the diagnosis.
** This code should be used cautiously and only when the specific cause and manifestations of the cerebrovascular sequelae remain unknown despite a thorough investigation.Consider the use of more specific codes if sufficient information is available.
- Payment Status: Active
- Modifier TC rule: Not applicable to this diagnostic code.
- Specialties:Neurology, Geriatric Medicine, Internal Medicine, Rehabilitation Medicine
- Place of Service:Office, Inpatient Hospital, Skilled Nursing Facility, Nursing Facility, Rehabilitation Facility