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Other sequelae of cerebral infarction

    201620172018201920202021Billable/Specific CodePOA Exempt
  • I69.398 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2021 edition of ICD-10-CM I69.398 became effective on October 1, 2020.
  • 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
    2021 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
    2021 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

    Sequelae of cerebrovascular disease

      201620172018201920202021Non-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
  • I69.3
    ICD-10-CM Diagnosis Code I69.3

    Sequelae of cerebral infarction

      201620172018201920202021Non-Billable/Non-Specific Code
    Sequelae of cerebral infarction
AfterApproximate 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
'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 v38.0):
  • 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
  • 2021 (effective 10/1/2020): No change
Diagnosis Index entries containing back-references to I69.398:
  • Alteration (of)
        • cerebrovascular diseaseI69.998
          ICD-10-CM Diagnosis Code I69.998

          Other sequelae following unspecified cerebrovascular disease

            201620172018201920202021Billable/Specific CodePOA Exempt
          Applicable To
          • Alteration in sensation following unspecified cerebrovascular disease
          • Disturbance of vision following unspecified cerebrovascular disease
          • cerebral infarction I69.398
  • Cerebromalacia - see Softening, brain
    • sequelae of cerebrovascular disease I69.398
  • Disturbance(s) - see also Disease
    • vision, visualH53.9

      Unspecified visual disturbance

        201620172018201920202021Billable/Specific Code
        • cerebral infarction I69.398
  • Sequelae (of) - see also condition
      • cerebralI69.30
        ICD-10-CM Diagnosis Code I69.30

        Unspecified sequelae of cerebral infarction

          201620172018201920202021Billable/Specific CodePOA Exempt
        • alteration of sensation I69.398
        • disturbance of vision I69.398
        • specified effect NEC I69.398
    • stroke NOSI69.30
      ICD-10-CM Diagnosis Code I69.30

      Unspecified sequelae of cerebral infarction

        201620172018201920202021Billable/Specific CodePOA Exempt
      • alteration in sensation I69.398
      • disturbance of vision I69.398
      • specified effect NEC I69.398
I69.363 …… affecting right non-dominant side
I69.365 …… bilateral
I69.39 Other sequelae of cerebral infarction
I69.391 Dysphagia following cerebral infarction
I69.392 Facial weakness following cerebral infarction
I69.398 Other sequelae of cerebral infarction
I69.80 Unspecified sequelae of other cerebrovascular disease
I69.81 Cognitive deficits following other cerebrovascular disease
I69.810 Attention and concentration deficit following other cerebrovascular disease

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I69.811 Memory deficit following other cerebrovascular disease
I69.812 Visuospatial deficit and spatial neglect following other cerebrovascular disease
I69.813 Psychomotor deficit following other cerebrovascular disease
I69.814 Frontal lobe and executive function deficit following other cerebrovascular disease

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I69.815 Cognitive social or emotional deficit following other cerebrovascular disease
I69.818 Other symptoms and signs involving cognitive functions following other cerebrovascular disease

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Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.