I69.020 is a billable ICD-10 code used to specify a medical diagnosis of aphasia following nontraumatic subarachnoid hemorrhage. The code is valid during the fiscal year 2023 from October 01, 2022 through September 30, 2023 for the submission of HIPAA-covered transactions. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Aphasia as sequela of non-traumatic subarachnoid hemorrhage
- Sequela of non-traumatic intracranial subarachnoid hemorrhage
- Sequelae of subarachnoid hemorrhage
Index to Diseases and Injuries References
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for this diagnosis code are found in the injuries and diseases index:
- - Aphasia (amnestic) (global) (nominal) (semantic) (syntactic) - R47.01
Present on Admission (POA)
Convert to ICD-9 Code
|Source ICD-10 Code||Target ICD-9 Code|
|I69.020||438.11 - Late eff CV dis-aphasia|
|Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.|
What is aphasia?
Aphasia is a language disorder that makes it hard for you to read, write, and say what you mean to say. Sometimes it makes it hard to understand what other people are saying, too. Aphasia is not a disease. It's a symptom of damage to the parts of the brain that control language.
The signs of aphasia depend on which part of the brain is damaged. There are four main types of aphasia:
- Expressive aphasia is when you know what you want to say, but you have trouble saying or writing your thoughts.
- Receptive aphasia affects your ability to read and understand speech. You can hear what people say or see words on a page, but you have trouble making sense of what they mean.
- Global aphasia is the loss of almost all language ability. You can't speak, understand speech, read, or write.
- Anomic or amnesia aphasia is when you have trouble using the right words for certain things, people, places or events.
In some cases, aphasia may get better on its own. But it can be a long-term condition. There's no cure, but treatment may help improve language skills.
What causes aphasia?
Aphasia happens from damage to one or more parts of the brain involved with language. The damage may be from:
- Stroke, which is the most common cause of aphasia
- Brain tumor
- Brain infection or inflammation
- Brain injury
- Other brain disorders or neurologic diseases that affect the brain and get worse over time, such as dementia
Who is more likely to develop aphasia?
Anyone can have aphasia at any age, but most people with aphasia are middle-aged or older. Most aphasia happens suddenly from a stroke or brain injury. Aphasia from a brain tumor or other brain disorder may develop slowly over time.
How is aphasia diagnosed?
If a health care provider sees signs of aphasia, the provider will usually:
- Test the person's ability to understand language and speech. This includes asking questions and checking to see if the person can follow simple commands.
- Order an imaging scan to see if there's a brain injury and what part of the brain is damaged. Possible tests include:
- CT scan
If imaging shows signs of aphasia, more tests may be needed. These tests measure how much the brain damage has affected the ability to talk, read, write, and understand. In most cases, the tests are done by a speech-language pathologist or speech therapist (a specialist who treats speech and communication disorders).
What are the treatments for aphasia?
Some people fully recover from aphasia without treatment. But most people should begin speech-language therapy to treat aphasia as soon as possible.
Treatment may be one-on-one with a speech therapist or in a group. Therapy using a computer may also be helpful.
The specific therapy depends on the type of language loss that a person has. It may include exercises in reading, writing, following directions, and repeating what the therapist says. Therapy may also include learning how to communicate with gestures, pictures, smartphones, or other electronic devices.
Family participation may be an important part of speech therapy. Family members can learn to help with recovery in many ways, such as:
- Using simpler language
- Including the person with aphasia in conversations
- Repeating or writing down key words to help communicate more clearly
How much a person recovers depends on many things, including:
- What caused the brain injury
- What part of the brain was hurt
- How badly and how much of the brain was hurt
- The age and health of the person
Can aphasia be prevented?
You can help prevent aphasia by:
- Making heart-healthy lifestyle changes to lower your chance of having:
- A stroke
- Heart disease
- Vascular disease (problems with your blood vessels)
- Protecting your brain from injury:
- Wearing the right helmet for sports safety, such as when riding a bike
- Taking action to prevent falls
- Always wearing your seatbelt and driving safely
NIH: National Institute on Deafness and Other Communication Disorders
[Learn More in MedlinePlus]
A stroke is a medical emergency. There are two types - ischemic and hemorrhagic. Hemorrhagic stroke is the less common type. It happens when a blood vessel breaks and bleeds into the brain. Within minutes, brain cells begin to die. Causes include a bleeding aneurysm, an arteriovenous malformation (AVM), or an artery wall that breaks open.
Symptoms of stroke are:
- Sudden numbness or weakness of the face, arm or leg (especially on one side of the body)
- Sudden confusion, trouble speaking or understanding speech
- Sudden trouble seeing in one or both eyes
- Sudden trouble walking, dizziness, loss of balance or coordination
- Sudden severe headache with no known cause
It is important to treat strokes as quickly as possible. With a hemorrhagic stroke, the first steps are to find the cause of bleeding in the brain and then control it. Surgery may be needed. Post-stroke rehabilitation can help people overcome disabilities caused by stroke damage.
National Institute of Neurological Disorders and Stroke
[Learn More in MedlinePlus]
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)