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ICD-10/I69.91

I69.91 ICD-10-CM Code: Cognitive deficits following unspecified cerebrovascular disease

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 unspecified cerebrovascular disease is a non-billable ICD-10-CM category code (I69.91). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for I69.91 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)

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.

Contextual Map

Every relationship of I69.91 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 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), disease, cerebrovascular, cognitive deficits[Index term]

Nearest codes (40)

  • I69 — Sequelae of cerebrovascular disease [Sibling]
  • I69.851 — Hemiplegia and hemiparesis following other cerebrovascular disease affecting right dominant side [Sibling]
  • I69.852 — Hemiplegia and hemiparesis following other cerebrovascular disease affecting left dominant side [Sibling]
  • I69.853 — Hemiplegia and hemiparesis following other cerebrovascular disease affecting right non-dominant side [Sibling]
  • I69.854 — Hemiplegia and hemiparesis following other cerebrovascular disease affecting left non-dominant side [Sibling]
  • I69.859 — Hemiplegia and hemiparesis following other cerebrovascular disease affecting unspecified side [Sibling]
  • I69.86 — Other paralytic syndrome following other cerebrovascular disease [Sibling]
  • I69.861 — Other paralytic syndrome following other cerebrovascular disease affecting right dominant side [Sibling]
  • and 32 more

Change history

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

Referenced by Other Codes

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.

Official ICD-10-CM tabular notes on other codes that name I69.91 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.

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

Frequently Asked Questions (FAQ) & Clinical Guidance

Can I69.91 be billed directly?

No. I69.91 (Cognitive deficits following unspecified cerebrovascular disease) 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 I69.91 in its code family, with their registry titles.

  • I69.892 — Facial weakness following other cerebrovascular disease
  • I69.893 — Ataxia following other cerebrovascular disease
  • I69.898 — Other sequelae of other cerebrovascular disease
  • I69.9 — Sequelae of unspecified cerebrovascular diseases
  • I69.90 — Unspecified sequelae of unspecified cerebrovascular disease
  • I69.910 — Attention and concentration deficit following unspecified cerebrovascular disease
  • I69.911 — Memory deficit following unspecified cerebrovascular disease
  • I69.912 — Visuospatial deficit and spatial neglect following unspecified cerebrovascular disease
  • I69.913 — Psychomotor deficit following unspecified cerebrovascular disease
  • I69.914 — Frontal lobe and executive function deficit following unspecified cerebrovascular disease

View all codes in the I69 family

Indexed Clinical Terms (1)

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

  • Sequelae (of), disease, cerebrovascular, cognitive deficits