I69.398

I69.398: Other sequelae of cerebral infarction

Billable / specific codeICD-10-CMPOA exempt

I69.398 is a billable, specific ICD-10-CM code for other sequelae of cerebral infarction. It is valid for submission on a claim.

Check I69.398 with the rest of the claim: free scrubber

Use additional code

Add a secondary code to capture the detail described below.

code to identify the sequelae

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

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

Excludes1 inherited from the categories above I69.398

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 I69.398

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

I69.398 is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53057Billing and Coding: Home Health Occupational Therapy
A53064Billing and Coding: Outpatient Occupational Therapy
A53065Billing and Coding: Outpatient Physical Therapy
A57130Billing and Coding: Psychiatric Codes

Alphabetic index entries that lead here

Cerebromalacia›sequelae of cerebrovascular disease
Sequelae›stroke NOS›alteration in sensation
Sequelae›stroke NOS›disturbance of vision
Sequelae›stroke NOS›specified effect NEC
Disturbance›vision, visual›following›cerebral infarction
Sequelae›infarction›cerebral›alteration of sensation
Sequelae›infarction›cerebral›disturbance of vision
Sequelae›infarction›cerebral›specified effect NEC
Alteration, Altered›sensation›following›cerebrovascular disease›cerebral infarction

Code history

Unchanged in every release from FY2024 to FY2027.