Residuals like obvious physical paralysis, slurred speech, mobility and/or balance problems that require you to use a wheelchair, walker or walking stick are conspicuous to others. On the other hand, maybe your leftovers are not evident, invisible to friends and family alike.
Other sequelae of cerebral infarction I69. 398 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. 398 became effective on October 1, 2021.
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 .
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.
Right hemisphere stroke survivors themselves reported few residual deficits, but equally common were: fatigue, left-sided weakness, problems with mood, reading, writing, memory, and sexual function (with symptoms in each of these domains rated as important/moderate problem by 21% of right hemisphere stroke survivors).
When reporting sequela(e), you usually will need to report two codes. The first describes the condition or nature of the sequela(e) and the second describes the sequela(e) or “late effect.” For example, you may report M81.
ICD-10 code I69. 90 for Unspecified sequelae of unspecified cerebrovascular disease is a medical classification as listed by WHO under the range - Diseases of the circulatory system .
ICD-10 code Z86. 73 for Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
History of Stroke (ICD-10 code Z86. 73) should be used when the patient is being seen in an out patient setting subsequent to an inpatient stay. In addition, this code should be used when the patient does not exhibit neurologic deficits due to cerebrovascular disease (i.e., no late effects due to stroke).