All ICD10 Codes
I69Not billable, use a more specific code below

Sequelae of cerebrovascular disease

In Cerebrovascular diseases (I60-I69), chapter 9: Diseases of the Circulatory System

240 billable codes under I69: 30 are a CC; 126 map to HCC 254 (Monoplegia, Other Paralytic Syndromes), HCC 253 (Hemiplegia/Hemiparesis).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.

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Instructional notes

Excludes1: not coded here, use a different code

  • 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.-)

Also applies, from Cerebrovascular diseases (I60-I69)

These notes sit on I60-I69 and apply to every code under it, including I69.

Excludes1: not coded here, use a different code

  • traumatic intracranial hemorrhage (S06.-)

Use additional code: add a second code for this, listed after this one

  • 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-I1A)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

  • Section I.C.9.d Sequelae of Cerebrovascular Disease (page 53), covers I69

    Use I69 for neurologic deficits that persist after conditions in I60 to I67; I69 may be coded with I60 to I67 for a current event plus old deficits. Do not assign I69 without neurologic deficits.

Other Chapter 9 topics:

Read Section I.C.9 (page 50)

All codes under I69

I69 can't be used on a claim. Pick a billable code below; grey headings group them.

I69 MS-DRGs

As the principal diagnosis, all 240 billable codes under I69 group to MS-DRG 056 or 057 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Other codes that refer to I69

Notes on these codes point to I69.

  • F48.2 Code First: sequelae of cerebrovascular disease (I69.-)
  • F80.81 Excludes1: fluency disorder (stuttering) following cerebrovascular disease (I69. with final characters -23)
  • F98.5 Excludes1: fluency disorder (stuttering) following cerebrovascular disease (I69. with final characters -23)
  • G31.84 Excludes1: cerebrovascular diseases (I60-I69)
  • G46 Code First: underlying cerebrovascular disease (I60-I69)
  • I10 Excludes2: essential (primary) hypertension involving vessels of brain (I60-I69)
  • I15 Excludes2: secondary hypertension involving vessels of brain (I60-I69)
  • R13.1 Code First: if applicable, dysphagia following cerebrovascular disease (I69. with final characters -91)
  • R27.0 Excludes1: ataxia following cerebrovascular disease (I69. with final characters -93)
  • R29.810 Excludes1: facial weakness following cerebrovascular disease (I69. with final characters -92)
  • R47.01 Excludes1: aphasia following cerebrovascular disease (I69. with final characters -20)
  • R47.02 Excludes1: dysphasia following cerebrovascular disease (I69. with final characters -21)
  • R47.1 Excludes1: dysarthria following cerebrovascular disease (I69. with final characters -22)
  • R47.8 Excludes1: dysarthria following cerebrovascular disease (I69. with final characters -28)
  • R47.82 Excludes1: fluency disorder (stuttering) following cerebrovascular disease (I69. with final characters -23)
  • R48.2 Excludes1: apraxia following cerebrovascular disease (I69. with final characters -90)
  • Z86.73 Excludes1: sequelae of cerebrovascular disease (I69.-)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Brain Diseases

Your brain is the control center of your body. It controls your thoughts, memory, speech, and movement. It regulates the function of many organs. It's part of your nervous system, which also includes your spinal cord and peripheral nerves. The nervous system sends signals between your brain and the rest of the body. Your nerves take in information from your senses and send it to the brain to be processed. Your brain and nerves also communicate to help you move and to control your body's functions.

Read more about brain diseases on MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.