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I69.31 ICD-10-CM Code: Cognitive deficits following cerebral infarction

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Official Registry Overview & Definition

Cognitive deficits following cerebral infarction is a non-billable ICD-10-CM category code (I69.31). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for I69.31 in the official ICD-10-CM tabular list.

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).

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)

Indexed Clinical Terms (2)

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.

  • Sequelae (of), infarction, cerebral, cognitive deficits
  • Sequelae (of), stroke NOS, cognitive deficits

Frequently Compared Codes

The official Excludes notes on I69.31 name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

Verify Before Coding

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.

Relationships & Classification

Official ICD-10-CM tabular notes on other codes that name I69.31 or its code family.

14 Excludes1 notes across 4 chapters: F06.7, F80.81 (via I69.-), F98.5 (via I69.-), G31.84, R27.0 (via I69.-), R29.810 (via I69.-), R41.84, R47.01 (via I69.-), R47.02 (via I69.-), R47.1 (via I69.-) and 4 more.

1 Excludes2 notes: I63 (via I69.3.-).

2 Code First instructions across 2 chapters: F48.2 (via I69.-), R13.1 (via I69.-).

Clinical classification (AHRQ CCSR):CIR025 — Sequela of cerebral infarction and other 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.

Contextual Map

Every relationship of I69.31 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.

Hierarchy

  • I00-I99 — Chapter 9: Diseases of the Circulatory System (I00-I99) (I00-I99) [Hierarchy]
  • I60-I69 — Cerebrovascular diseases [Hierarchy]

Referenced by Excludes1 notes (14)

  • F06.7 — Mild neurocognitive disorder due to known physiological condition [Excludes1]: “cognitive deficits following (sequelae of) cerebral hemorrhage or infarction (I69.01-I69.11-, I69.21-I69.31-, I69.81- I69.91-)” · check together
  • F80.81 — Childhood onset fluency disorder [Excludes1](via I69.-): “fluency disorder (stuttering) following cerebrovascular disease (I69. with final characters -23)” · check together
  • F98.5 — Adult onset fluency disorder [Excludes1](via I69.-): “fluency disorder (stuttering) following cerebrovascular disease (I69. with final characters -23)” · check together
  • G31.84 — Mild cognitive impairment of uncertain or unknown etiology [Excludes1]: “cognitive deficits following (sequelae of) cerebral hemorrhage or infarction (I69.01-, I69.11-, I69.21-, I69.31-, I69.81-, I69.91-)” · check together
  • R27.0 — Ataxia, unspecified [Excludes1](via I69.-): “ataxia following cerebrovascular disease (I69. with final characters -93)” · check together
  • R29.810 — Facial weakness [Excludes1](via I69.-): “facial weakness following cerebrovascular disease (I69. with final characters -92)” · check together
  • R41.84 — Other specified cognitive deficit [Excludes1]: “cognitive deficits as sequelae of cerebrovascular disease (I69.01-, I69.11-, I69.21-, I69.31-, I69.81-, I69.91-)” · check together
  • R47.01 — Aphasia [Excludes1](via I69.-): “aphasia following cerebrovascular disease (I69. with final characters -20)” · check together
  • and 6 more

Referenced by Excludes2 notes

  • I63 — Cerebral infarction [Excludes2](via I69.3.-): “sequelae of cerebral infarction (I69.3-)” · check together

Referenced by Code First instructions

  • F48.2 — Pseudobulbar affect [Code First](via I69.-): “sequelae of cerebrovascular disease (I69.-)” · check together
  • R13.1 — Dysphagia [Code First](via I69.-): “, if applicable, dysphagia following cerebrovascular disease (I69. with final characters -91)” · check together

Clinical classification (CCSR)

  • CIR025 — Sequela of cerebral infarction and other cerebrovascular disease [CCSR]

Index entries

  • Sequelae (of), infarction, cerebral, cognitive deficits[Index term]
  • Sequelae (of), stroke NOS, cognitive deficits[Index term]

Nearest codes (40)

  • I69 — Sequelae of cerebrovascular disease [Sibling]
  • I69.251 — Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting right dominant side [Sibling]
  • I69.252 — Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting left dominant side [Sibling]
  • I69.253 — Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting right non-dominant side [Sibling]
  • I69.254 — Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting left non-dominant side [Sibling]
  • I69.259 — Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting unspecified side [Sibling]
  • I69.26 — Other paralytic syndrome following other nontraumatic intracranial hemorrhage [Sibling]
  • I69.261 — Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right dominant side [Sibling]
  • and 32 more

Change history

  • FY2017 — Became a non-billable header [Change history]

Frequently Asked Questions (FAQ) & Clinical Guidance

Can I69.31 be billed directly?

No. I69.31 (Cognitive deficits following cerebral infarction) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to I69.31 in its code family, with their registry titles.

  • I69.292 — Facial weakness following other nontraumatic intracranial hemorrhage
  • I69.293 — Ataxia following other nontraumatic intracranial hemorrhage
  • I69.298 — Other sequelae of other nontraumatic intracranial hemorrhage
  • I69.3 — Sequelae of cerebral infarction
  • I69.30 — Unspecified sequelae of cerebral infarction
  • I69.310 — Attention and concentration deficit following cerebral infarction
  • I69.311 — Memory deficit following cerebral infarction
  • I69.312 — Visuospatial deficit and spatial neglect following cerebral infarction
  • I69.313 — Psychomotor deficit following cerebral infarction
  • I69.314 — Frontal lobe and executive function deficit following cerebral infarction

View all codes in the I69 family