I69.315

I69.315: Cognitive social or emotional deficit following cerebral infarction

Billable / specific codeICD-10-CMPOA exempt

I69.315 is a billable, specific ICD-10-CM code for cognitive social or emotional deficit following cerebral infarction. It is valid for submission on a claim.

Check I69.315 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above I69.315

A category’s note binds every code beneath it.

Written on I69: Sequelae of cerebrovascular disease

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.-)

Other codes that can never be billed with I69.315

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

Z86.73Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits

Risk adjustment

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

Medicare coverage

I69.315 is named in 13 Medicare coverage policies: 13 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52866Billing and Coding: Speech-Language Pathology
A53052Billing and Coding: Home Health Speech-Language Pathology
A53057Billing and Coding: Home Health Occupational Therapy
A53058Billing and Coding: Home Health Physical Therapy

Alphabetic index entries that lead here

Deficit›cognitive›emotional›following›cerebral infarction
Deficit›cognitive›social›following›cerebral infarction

Code history

Unchanged in every release from FY2024 to FY2027.