Blue Cross and Blue Shield of Alabama (BCCSAL) provides the following information on assigning codes in category 169 (Sequelae of cerebrovascular disease): ICD-10 codes in category I69 describe the type of stroke and the sequelae (late effect) caused by the stroke.
Personal history of prolonged reversible ischemic neurological deficit (PRIND); Personal history of stroke NOS without residual deficits ICD-10-CM Diagnosis Code I69.921 [convert to ICD-9-CM] Dysphasia following unspecified cerebrovascular disease
ICD-10-CM Diagnosis Code I69.3. Sequelae of cerebral infarction. 2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code. Applicable To. Sequelae of stroke NOS. Sequelae of cerebral infarction. Approximate Synonyms. Alteration of sensation as late effect of stroke. Alteration of sensations, late effect of stroke.
ICD-10-CM Diagnosis Code Z82.3 [convert to ICD-9-CM] Family history of stroke Family history of aneurysm of brain and stroke; Family history of stroke due to brain aneurysm (artery dilation); Conditions classifiable to I60-I64 ICD-10-CM Diagnosis Code I69.30 [convert to ICD-9-CM]
Cognitive deficits following cerebral infarction The 2022 edition of ICD-10-CM I69. 31 became effective on October 1, 2021. This is the American ICD-10-CM version of I69. 31 - other international versions of ICD-10 I69.
If a physician clearly documents that a patient is being seen who has a history of cerebrovascular disease or accident with residual effects, a code from category I69* should be assigned.
ICD-10 code I69. 3 for Sequelae of cerebral infarction is a medical classification as listed by WHO under the range - Diseases of the circulatory system .
Coding Guidelines Residual neurological effects of a stroke or cerebrovascular accident (CVA) should be documented using CPT category I69 codes indicating sequelae of cerebrovascular disease. Codes I60-67 specify hemiplegia, hemiparesis, and monoplegia and identify whether the dominant or nondominant side is affected.
A sequela code is for complications or conditions that arise as a direct result of a condition or injury. Examples include joint contracture after a tendon injury, hemiplegia after a stroke or scar formation following a burn. The sequela code should be primary and followed by the injury/condition code.
Unspecified sequelae of cerebral infarction I69. 30 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM I69. 30 became effective on October 1, 2021.
Sequelae are residual effects or conditions produced after the acute phase of an illness or injury has ended. Therefore there is no time limit on when a sequela code can be assigned.
About one-third of stroke survivors experience depression, anxiety or apathy, which are the most common neuropsychiatric sequelae of stroke. Neuropsychiatric sequelae are disabling, and can have a negative influence on recovery, reduce quality of life and lead to exhaustion of the caregiver.
If specifically managing effects of a prior stroke, use I69, Sequelae of cerebrovascular disease codes, but note that a new stroke code cannot be used concurrently (eg, I63, Cerebral infarction). Also, if a personal history of TIA or a stroke without residual deficits exists, then Z86.
I69. 354 - Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side | ICD-10-CM.
Hemiparesis is a mild or partial weakness or loss of strength on one side of the body. Hemiplegia is a severe or complete loss of strength or paralysis on one side of the body.
I69. 351 - Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side. ICD-10-CM.
In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere.". Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code.
Category I69 is to be used to indicate conditions in I60 - I67 as the cause of sequelae. The 'sequelae' include conditions specified as such or as residuals which may occur at any time after the onset of the causal condition. Type 1 Excludes.