I69

I69: Sequelae of cerebrovascular disease

Non-billable headerICD-10-CM

I69 is a non-billable header ICD-10-CM code for sequelae of cerebrovascular disease. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

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.-)

Notes

Additional guidance from the ICD-10-CM tabular list.

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

Other codes that can never be billed with I69

Their own Excludes1 notes name this code, so the conflict is not listed above.

F06.7Mild neurocognitive disorder due to known physiological condition
F80.81Childhood onset fluency disorder
F98.5Adult onset fluency disorder
G31.84Mild cognitive impairment of uncertain or unknown etiology
G81Hemiplegia and hemiparesis
G83.1Monoplegia of lower limb
G83.2Monoplegia of upper limb
I69.06Other paralytic syndrome following nontraumatic subarachnoid hemorrhage

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead I69

6 child codes. Green means billable.