ICD-10-CM Code I69.020

Aphasia following nontraumatic subarachnoid hemorrhage

Version 2021 Billable Code POA Exempt

Valid for Submission

I69.020 is a billable code used to specify a medical diagnosis of aphasia following nontraumatic subarachnoid hemorrhage. The code is valid for the fiscal year 2021 for the submission of HIPAA-covered transactions. The ICD-10-CM code I69.020 might also be used to specify conditions or terms like aphasia as sequela of non-traumatic subarachnoid hemorrhage or sequela of non-traumatic intracranial subarachnoid hemorrhage or sequelae of subarachnoid hemorrhage. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

ICD-10:I69.020
Short Description:Aphasia following nontraumatic subarachnoid hemorrhage
Long Description:Aphasia following nontraumatic subarachnoid hemorrhage

Index to Diseases and Injuries

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 the code I69.020 are found in the index:


Synonyms

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

Present on Admission (POA)

I69.020 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here .

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert I69.020 to ICD-9

  • 438.11 - Late eff CV dis-aphasia (Approximate Flag)

Code Classification

  • Diseases of the circulatory system (I00–I99)
    • Cerebrovascular diseases (I60-I69)
      • Sequelae of cerebrovascular disease (I69)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021

Information for Patients


Aphasia

Aphasia is a disorder caused by damage to the parts of the brain that control language. It can make it hard for you to read, write, and say what you mean to say. It is most common in adults who have had a stroke. Brain tumors, infections, injuries, and dementia can also cause it. The type of problem you have and how bad it is depends on which part of your brain is damaged and how much damage there is.

There are four main types:

  • Expressive aphasia - you know what you want to say, but you have trouble saying or writing what you mean
  • Receptive aphasia - you hear the voice or see the print, but you can't make sense of the words
  • Anomic aphasia - you have trouble using the correct word for objects, places, or events
  • Global aphasia - you can't speak, understand speech, read, or write

Some people recover from aphasia without treatment. Most, however, need language therapy as soon as possible.

NIH: National Institute of Neurological Disorders and Stroke

  • Communicating with someone with aphasia (Medical Encyclopedia)
  • Speech impairment (adult) (Medical Encyclopedia)

[Learn More]

Hemorrhagic Stroke

Also called: Intracerebral Hemorrhage, Subarachnoid Hemorrhage

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

  • Preventing stroke (Medical Encyclopedia)
  • Stroke - discharge (Medical Encyclopedia)

[Learn More]