I69.214 ICD-10-CM Code: Frontal lobe and executive function deficit following other nontraumatic intracranial hemorrhage
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Tabular directives
- 5 Excludes1 · 8 use-additional codes
Inpatient Payment Groups (MS-DRG)
Potential MS-DRG participation — not a DRG assignment.
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43, Appendix B.
- MS-DRG 056 — DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC (MDC 01)
- MS-DRG 057 — DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC (MDC 01)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for I69.214 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025
Notes without a marker are published on I69.214 itself; “inherited from” names the category or block whose note applies here.
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- personal history of cerebral infarction without residual deficit (Z86.73) inherited from I69Compare I69.214 vs Z86.73 →
- personal history of prolonged reversible ischemic neurologic deficit (PRIND) (Z86.73) inherited from I69Compare I69.214 vs Z86.73 →
- personal history of reversible ischemic neurologcial deficit (RIND) (Z86.73) inherited from I69Compare I69.214 vs Z86.73 →
- sequelae of traumatic intracranial injury (S06.-) inherited from I69Compare I69.214 vs S06 →
- traumatic intracranial hemorrhage (S06.-) inherited from I60-I69Compare I69.214 vs S06 →
Use Additional Code
Supplementary codes the tabular list directs you to add.
- 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-I1A)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
Source: inherited from I60-I69
Coder workflow for I69.214
MedCoder structured workflow — derived from this code’s own official record
Before you code I69.214
- Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with I69.214. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).
Choose the right path
- Does the documentation support a condition named in I69.214’s Excludes1 note?
Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
No → Continue.
Consider I69.214. Then work the Use Additional Code note, and confirm the code is valid for the date of service in the Verify section.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
- The conditions the Use Additional Code note names
- Reported with this code when documented; a conditional instruction (“if applicable”, “if known”) applies only when the record supports it.
Official instructions as workflow
Excludes1 — check before selecting I69.214(5 notes)
Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with I69.214: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.
See the official tabular notes · Guidelines I.A.12.a
Use Additional Code — after identifying I69.214(8 notes)
Coding workflow: Check whether the documentation supports the additional code(s) the note names, and report them with I69.214 when it does. Where the instruction is conditional (“if applicable”, “if known”), it applies only when the record documents the condition.
ReviewF10, Z77.22, Z87.891, Z57.31, F17, Z72.0
See the official tabular notes · Guidelines I.A.13
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: Both the condition I69.214 describes and a condition named in its Excludes1 note are documented for the same encounter.
Coding question: Can both codes be reported?
Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.
Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).
Documentation: A condition the Use Additional Code note names is documented.
Coding question: Is a second code reported with I69.214?
Path: Review the Use Additional Code note and the code it names.
Reason: The additional code is reported when the record documents the condition; a conditional instruction applies only when its condition is met (Guidelines I.A.13).
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Indexed Clinical Terms (2)
Official source data — entries quoted as published, in the Index’s own lookup phrasing
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.
Official Coding Guidelines
Official source data — quoted verbatim from the CMS/NCHS Official Guidelines
Official source data — quoted verbatim from the CMS/NCHS Official Guidelines
Verbatim excerpts from the ICD-10-CM Official Guidelines for Coding and Reporting (CMS/NCHS) that govern this code.
Chapter 9: Diseases of the Circulatory System (I00 -I99)
4) Hypertensive Cerebrovascular Disease For hypertensive cerebrovascular disease, first assign the appropriate code from categories I60-I69, followed by the appropriate hypertension code.
Chapter 9: Diseases of the Circulatory System (I00 -I99)
1) Category I69, Sequelae of Cerebrovascular disease Category I69 is used to indicate conditions classifiable to categories I60- I67 as the causes of sequela (neurologic deficits), themselves classified elsewhere. These “late effects” include neurologic deficits that persist after initial onset of conditions classifiable to categories I60-I67. The neurologic deficits caused by cerebrovascular disease may be present from the onset or may arise at any time after the onset of the condition classifiable to categories I60-I67.
Chapter 9: Diseases of the Circulatory System (I00 -I99)
Codes from category I69, Sequelae of cerebrovascular disease, that specify hemiplegia, hemiparesis and monoplegia identify whether the dominant or nondominant side is affected. Should the affected side be documented, but not specified as dominant or nondominant, and the classification system does not indicate a default, code selection is as follows: • For ambidextrous patients, the default should be dominant. • If the left side is affected, the default is non-dominant. • If the right side is affected, the default is dominant.
Chapter 9: Diseases of the Circulatory System (I00 -I99)
2) Codes from category I69 with codes from I60-I67 Codes from category I69 may be assigned on a health care record with codes from I60-I67, if the patient has a current cerebrovascular disease and deficits from an old cerebrovascular disease.
Chapter 9: Diseases of the Circulatory System (I00 -I99)
3) Codes from category I69 and Personal history of transient ischemic attack (TIA) and cerebral infarction (Z86.73) Codes from category I69 should not be assigned if the patient does not have neurologic deficits.
Verify Before Coding
- No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder structured relationships — computed from published CMS and AHRQ datasets
Other codes that name I69.214 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 15 Excludes1 notes across 4 chapters: F06.7 — Mild neurocognitive disorder due to known physiological condition (via I69.-), F80.81 — Childhood onset fluency disorder (via I69.-), F98.5 — Adult onset fluency disorder (via I69.-), G31.84 — Mild cognitive impairment of uncertain or unknown etiology (via I69.21.-), G31.84 — Mild cognitive impairment of uncertain or unknown etiology (via I69.-), R27.0 — Ataxia, unspecified (via I69.-), R29.810 — Facial weakness (via I69.-), R41.84 — Other specified cognitive deficit (via I69.21.-), R47.01 — Aphasia (via I69.-), R47.02 — Dysphasia (via I69.-), R47.1 — Dysarthria and anarthria (via I69.-), R47.8 — Other speech disturbances (via I69.-), R47.82 — Fluency disorder in conditions classified elsewhere (via I69.-), R48.2 — Apraxia (via I69.-), Z86.73 — Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits (via I69.-).
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Referenced by 2 Excludes2 notes: I10 — Essential (primary) hypertension (via I69.-), I15 — Secondary hypertension (via I69.-).
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
Referenced by 3 Code First instructions across 3 chapters: F48.2 — Pseudobulbar affect (via I69.-), G46 — Vascular syndromes of brain in cerebrovascular diseases (via I69.-), R13.1 — Dysphagia (via I69.-).
Each of these codes carries a Code First note naming this condition — when that code is reported, THIS code is sequenced first, ahead of it.
MS-DRG Grouper Relationships (FY2026)
Potential MS-DRG participation — not a DRG assignment.
FY2026 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.
Named in the grouper logic of 2 MS-DRGs: DRG 056 (MDC 01), DRG 057 (MDC 01).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):CIR022 — Sequela of hemorrhagic cerebrovascular disease (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Sequela of hemorrhagic cerebrovascular disease).
I69.191 — Dysphagia following nontraumatic intracerebral hemorrhage, I69.192 — Facial weakness following nontraumatic intracerebral hemorrhage, I69.193 — Ataxia following nontraumatic intracerebral hemorrhage, I69.198 — Other sequelae of nontraumatic intracerebral hemorrhage, I69.20 — Unspecified sequelae of other nontraumatic intracranial hemorrhage, I69.21 — Cognitive deficits following other nontraumatic intracranial hemorrhage, I69.210 — Attention and concentration deficit following other nontraumatic intracranial hemorrhage, I69.211 — Memory deficit following other nontraumatic intracranial hemorrhage, I69.212 — Visuospatial deficit and spatial neglect following other nontraumatic intracranial hemorrhage, I69.213 — Psychomotor deficit following other nontraumatic intracranial hemorrhage, I69.215 — Cognitive social or emotional deficit following other nontraumatic intracranial hemorrhage, I69.218 — Other symptoms and signs involving cognitive functions following other nontraumatic intracranial hemorrhage, I69.219 — Unspecified symptoms and signs involving cognitive functions following other nontraumatic intracranial hemorrhage, I69.220 — Aphasia following other nontraumatic intracranial hemorrhage, I69.221 — Dysphasia following other nontraumatic intracranial hemorrhage, I69.222 — Dysarthria following other nontraumatic intracranial hemorrhage, I69.223 — Fluency disorder following other nontraumatic intracranial hemorrhage, I69.228 — Other speech and language deficits following other nontraumatic intracranial hemorrhage, I69.231 — Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting right dominant side, I69.232 — Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting left dominant side, +102 more
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Deficit”; these codes share that main term but sit in a different category of the Tabular List.
I63.9 — Cerebral infarction, unspecified (neurologic NEC, ischemic, reversible), R09.02 — Hypoxemia (oxygen), R29.818 — Other symptoms and signs involving the nervous system (neurologic NEC), R41.840 — Attention and concentration deficit (concentration), R41.841 — Cognitive communication deficit (cognitive, communication), R41.842 — Visuospatial deficit (visuospatial), R41.843 — Psychomotor deficit (psychomotor), R41.844 — Frontal lobe and executive function deficit (frontal lobe), R41.89 — Other symptoms and signs involving cognitive functions and awareness (cognitive NEC)
Lab tests where this diagnosis supports Medicare coverage (NCD)
Medicare's National Coverage Determination (NCD) program lists this diagnosis as medical justification for these lab tests.
Contextual Map
Every relationship of I69.214 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run I69.214 with these 12 related codes in Claim Check
Hierarchy
- I00-I99 — Chapter 9: Diseases of the Circulatory System (I00-I99) (I00-I99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I60-I69 — Cerebrovascular diseases[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Referenced by Excludes1 notes (15)
- F06.7 — Mild neurocognitive disorder due to known physiological condition[Excludes1](via I69.-): “cognitive deficits following (sequelae of) cerebral hemorrhage or infarction (I69.01-I69.11-, I69.21-I69.31-, I69.81- I69.91-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- F80.81 — Childhood onset fluency disorder[Excludes1](via I69.-): “fluency disorder (stuttering) following cerebrovascular disease (I69. with final characters -23)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- F98.5 — Adult onset fluency disorder[Excludes1](via I69.-): “fluency disorder (stuttering) following cerebrovascular disease (I69. with final characters -23)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- G31.84 — Mild cognitive impairment of uncertain or unknown etiology[Excludes1](via I69.21.-): “cognitive deficits following (sequelae of) cerebral hemorrhage or infarction (I69.01-, I69.11-, I69.21-, I69.31-, I69.81-, I69.91-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- G31.84 — Mild cognitive impairment of uncertain or unknown etiology[Excludes1](via I69.-): “cerebrovascular diseases (I60-I69)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R27.0 — Ataxia, unspecified[Excludes1](via I69.-): “ataxia following cerebrovascular disease (I69. with final characters -93)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R29.810 — Facial weakness[Excludes1](via I69.-): “facial weakness following cerebrovascular disease (I69. with final characters -92)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R41.84 — Other specified cognitive deficit[Excludes1](via I69.21.-): “cognitive deficits as sequelae of cerebrovascular disease (I69.01-, I69.11-, I69.21-, I69.31-, I69.81-, I69.91-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- and 7 more
Referenced by Excludes2 notes
- I10 — Essential (primary) hypertension[Excludes2](via I69.-): “essential (primary) hypertension involving vessels of brain (I60-I69)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- I15 — Secondary hypertension[Excludes2](via I69.-): “secondary hypertension involving vessels of brain (I60-I69)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Code First instructions
- F48.2 — Pseudobulbar affect[Code First](via I69.-): “sequelae of cerebrovascular disease (I69.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- G46 — Vascular syndromes of brain in cerebrovascular diseases[Code First](via I69.-): “underlying cerebrovascular disease (I60-I69)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R13.1 — Dysphagia[Code First](via I69.-): “, if applicable, dysphagia following cerebrovascular disease (I69. with final characters -91)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Clinical classification (CCSR)
- CIR022 — Sequela of hemorrhagic cerebrovascular disease[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
MS-DRG Grouper
- DRG 056 — DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC[MS-DRG]: “DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 057 — DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC[MS-DRG]: “DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
MDC crossing
- MDC 01 — Diseases and Disorders of the Nervous System[MDC crossing]: “Diseases and Disorders of the Nervous System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 8,892 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026
Index entries
- Deficit, executive function, following, nontraumatic, specified intracranial hemorrhage NEC[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Deficit, frontal lobe, following, nontraumatic, specified intracranial hemorrhage NEC[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
Nearest codes (40)
- I69 — Sequelae of cerebrovascular disease[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I69.16 — Other paralytic syndrome following nontraumatic intracerebral hemorrhage[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I69.161 — Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting right dominant side[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I69.162 — Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting left dominant side[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I69.163 — Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting right non-dominant side[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I69.164 — Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting left non-dominant side[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I69.165 — Other paralytic syndrome following nontraumatic intracerebral hemorrhage, bilateral[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I69.169 — Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting unspecified side[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 32 more
Change history
- FY2017 — Added to the code set[Change history]— CMS release files (code change ledger) · icd10cm-fy2017
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Coding guidelines Official source data
- ICD-10-CM Official Guidelines for Coding and Reporting (FY2026), quoted by section Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Inpatient payment groups Official source data
- CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "I69.214 — Frontal lobe and executive function deficit following other nontraumatic intracranial hemorrhage." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/i69.214-frontal-lobe-and-executive-function-deficit-following-other-nontraumatic-intracranial-hemorrhage
Change history
- FY2017 — October 1, 2016Added to the code setFrontal lobe and executive function deficit following other nontraumatic intracranial hemorrhageFY2017 changes
Nearest Codes in This Family
Official ICD-10-CM classifications closest to I69.214 in its code family, with their registry titles.
- I69.21 — Cognitive deficits following other nontraumatic intracranial hemorrhage
- I69.210 — Attention and concentration deficit following other nontraumatic intracranial hemorrhage
- I69.211 — Memory deficit following other nontraumatic intracranial hemorrhage
- I69.212 — Visuospatial deficit and spatial neglect following other nontraumatic intracranial hemorrhage
- I69.213 — Psychomotor deficit following other nontraumatic intracranial hemorrhage
- I69.215 — Cognitive social or emotional deficit following other nontraumatic intracranial hemorrhage
- I69.218 — Other symptoms and signs involving cognitive functions following other nontraumatic intracranial hemorrhage
- I69.219 — Unspecified symptoms and signs involving cognitive functions following other nontraumatic intracranial hemorrhage
- I69.22 — Speech and language deficits following other nontraumatic intracranial hemorrhage
- I69.220 — Aphasia following other nontraumatic intracranial hemorrhage