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Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. 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. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
The following code(s) above
I69.091 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
- Applicable To annotations, or
- Code Also annotations, or
- Code First annotations, or
- Excludes1 annotations, or
- Excludes2 annotations, or
- Includes annotations, or
- Note annotations, or
- Use Additional annotations
that may be applicable to
I69.091:
- I00-I99
2020 ICD-10-CM Range I00-I99
Diseases of the circulatory systemType 2 Excludes- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- systemic connective tissue disorders (M30-M36)
- transient cerebral ischemic attacks and related syndromes (G45.-)
Diseases of the circulatory system - I60-I69
2020 ICD-10-CM Range I60-I69
Cerebrovascular diseasesType 1 Excludes- traumatic intracranial hemorrhage (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-I16)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
Cerebrovascular diseases - I69
ICD-10-CM Diagnosis Code I69
Sequelae of cerebrovascular disease
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Note- 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- personal history of cerebral infarction without residual deficit (Z86.73)
- personal history of prolonged reversible ischemic neurologic deficit (PRIND) (Z86.73)
- personal history of reversible ischemic neurologcial deficit (RIND) (Z86.73)
- sequelae of traumatic intracranial injury (S06.-)
Sequelae of cerebrovascular disease
I69.059 …… affecting unspecified side
I69.06 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage
I69.061 …… affecting right dominant side
I69.062 …… affecting left dominant side
I69.063 …… affecting right non-dominant side
I69.064 …… affecting left non-dominant side
I69.069 …… affecting unspecified side
I69.09 Other sequelae of nontraumatic subarachnoid hemorrhage
I69.090 Apraxia following nontraumatic subarachnoid hemorrhage
I69.091 Dysphagia following nontraumatic subarachnoid hemorrhage
I69.092 Facial weakness following nontraumatic subarachnoid hemorrhage
I69.093 Ataxia following nontraumatic subarachnoid hemorrhage
I69.098 Other sequelae following nontraumatic subarachnoid hemorrhage
I69.1 Sequelae of nontraumatic intracerebral hemorrhage
I69.10 Unspecified sequelae of nontraumatic intracerebral hemorrhage
I69.11 Cognitive deficits following nontraumatic intracerebral hemorrhage
I69.110 Attention and concentration deficit following nontraumatic intracerebral hemorrhage
I69.111 Memory deficit following nontraumatic intracerebral hemorrhage
I69.112 Visuospatial deficit and spatial neglect following nontraumatic intracerebral hemorrhage
I69.113 Psychomotor deficit following nontraumatic intracerebral hemorrhage
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.