Icd 10 Post Stroke

How To Code Sequela Of Cva In Icd 10 Home Health Coding Tip By Pps Plus September 2017

2020 ICD-10-CM Diagnosis Code I69.398

2016

2017

2018

2019

2020

Billable/Specific Code

POA Exempt

I69.398 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The 2020 edition of ICD-10-CM I69.398 became effective on October 1, 2019.
This is the American ICD-10-CM version of I69.398 - other international versions of ICD-10 I69.398 may differ.

Applicable To

Alteration of sensation following cerebral infarction
Disturbance of vision following cerebral infarction

Use Additional

Use Additional Help

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.

code to identify the sequelae

The following code(s) above I69.398 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 I69.398:

I00-I99
2020 ICD-10-CM Range I00-I99
Diseases of the circulatory system
Type 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 diseases
Type 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
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
I69.3
ICD-10-CM Diagnosis Code I69.3
Applicable To
Sequelae of cerebral infarction

Approximate Synonyms

Alteration of sensation as late effect of stroke
Alteration of sensations, late effect of stroke
Late effects of stroke, weakness of arms, legs
Neurogenic bladder as late effect of cerebrovascular accident
Neurogenic bladder due to stroke
Painful hand as late effect of stroke
Painful hand, late effect of stroke
Painful left hand as late effect of stroke
Painful right hand as late effect of stroke
Seizure as late effect of stroke
Seizure disorder as sequela of stroke
Spasticity as sequela of stroke
Spasticity due to stroke
Stroke, late effects, behavioral/cognitive disorder
Vertigo as late effect of embolic cerebrovascular accident
Vertigo as late effect of hemorrhagic cerebrovascular accident
Vertigo as late effect of ischemic cerebrovascular accident
Vertigo from stroke
Visual field defect as late effect of cerebrovascular accident
Visual field defect as late effect of stroke
Weakness as a late effect of stroke
Weakness as late effects of cerebrovascular accident
Weakness of extremities as sequela of stroke
Weakness of extremities, late effect of stroke
Weakness, late effect of stroke

Present On Admission

POA Help

"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.

I69.398 is considered exempt from POA reporting.

ICD-10-CM I69.398 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):

056 Degenerative nervous system disorders with mcc
057 Degenerative nervous system disorders without mcc

Convert I69.398 to ICD-9-CM

Code History

2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
2017 (effective 10/1/2016): No change
2018 (effective 10/1/2017): No change
2019 (effective 10/1/2018): No change
2020 (effective 10/1/2019): No change

Diagnosis Index entries containing back-references to I69.398:

Alteration (of)
- sensation
  - following
    - cerebrovascular disease I69.998
      ICD-10-CM Diagnosis Code I69.998
      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      Alteration in sensation following unspecified cerebrovascular disease
      Disturbance of vision following unspecified cerebrovascular disease
      Use Additional
      code to identify the sequelae
      - cerebral infarction I69.398
Cerebromalacia - see Softening, brain
- sequelae of cerebrovascular disease I69.398
Disturbance(s) - see also Disease
- vision, visual H53.9
  ICD-10-CM Diagnosis Code H53.9
  Unspecified visual disturbance
  - following
    - cerebral infarction I69.398
Sequelae (of) - see also condition
- infarction
  - cerebral I69.30
    ICD-10-CM Diagnosis Code I69.30
    Unspecified sequelae of cerebral infarction
    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    - alteration of sensation I69.398
    - disturbance of vision I69.398
    - specified effect NEC I69.398
- stroke NOS I69.30
  ICD-10-CM Diagnosis Code I69.30
  Unspecified sequelae of cerebral infarction
  - alteration in sensation I69.398
  - disturbance of vision I69.398
  - specified effect NEC I69.398